Organization Active NPI

Jay D Geller MD PC

  • Dermatology Physician
  • Chester, NJ
National Provider Identifier
1629197819
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA05059400 Issued in NJ
Legal business name
JAY D GELLER MD PC
Practice address
310 State Route 24
Suite B1-a
Chester, NJ 07930-2625
Phone
(908) 879-8800
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Jay D Geller, MDNPI 1548261266
Title
President
Phone
(908) 879-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 25MA05059400 NJ Primary
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X 25MA05059400 NJ

Addresses

Primary practice location

310 State Route 24
Suite B1-a
Chester, NJ 07930-2625

Mailing address

PO Box 399
Chester, NJ 07930-0399
Phone (908) 879-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000675 NJ Part B Supplier - Clinic/Group Practice 8527166735 Receives reassigned benefits from 7 practitioners
Practice locations: Chester, NJ; Hackettstown, NJ

National Provider Directory

National Provider Directory

Locations

310 State Route 24
Ste A
Chester, NJ 07930

310 Route 24
Chester, NJ 07930
Phone (908) 879-8800

310 State Route 24
Ste B1A
Chester, NJ 07930
Phone (908) 879-8800

310 Route 24
Bldg A
Chester, NJ 07930
Phone (732) 770-5378

176 Mountain Ave
Hackettstown, NJ 07840

176 Mountain Ave
Ste 2A
Hackettstown, NJ 07840
Phone 9088798800129

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1629197819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079300399",
            "telephone_number": "908-879-8800",
            "fax_number": "908-879-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STATE ROUTE 24",
            "address_2": "SUITE B1-A",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302625",
            "telephone_number": "908-879-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D GELLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-879-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05059400",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA05059400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.