Jabush Acute Surgical Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JABUSH ACUTE SURGICAL CARE LLC

Practice address

14 US Highway 206 Apt a
Stanhope, NJ 07874-3325

Phone

(908) 850-9548

Fax

(908) 315-9597

NPI assigned

Apr 8, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jondavid Jabush, MDNPI 1649486705

Title

Managing Member

Phone

(908) 463-4251

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jondavid H Jabush, MD

  • Surgery Physician
  • Hackettstown, NJ
  • NPI 1649486705

  Surgery

  NPD Authorized official
• Samuil D. Rafailov, D.O.

  • Surgery Physician
  • Newton, NJ
  • NPI 1306107644

  Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1619819620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 US HIGHWAY 206 APT A",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 US HIGHWAY 206 APT A",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743325",
            "telephone_number": "908-850-9548",
            "fax_number": "908-315-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABUSH ACUTE SURGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "JABUSH",
        "authorized_official_first_name": "JONDAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-463-4251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Gullotta, DPT
• Thereza Radice Hernandez, LPC
• William Holdsworth, D.C.
• Hopeful Horizons Counseling LLC
• Rebecca Lynn Iannotta, ATC
• Jiulin Jong
• Mary Anne Julapong
• Ruth Yony Julien
• Doretha Keeling, LPN
• Kelly Canzone, LCSW, LLC

• All providers in Stanhope, NJ
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.