Individual provider Active NPI

Jeffrey Neil Emiliani, PA-C

  • Physician Assistant
  • Clifton, NJ
National Provider Identifier
1629730288
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00666200 Issued in NJ
Practice address
780 State RT 3
Clifton, NJ 07012-2328
Phone
(973) 777-6767
NPI assigned
Oct 12, 2021
Last updated
Aug 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00666200 NJ Primary
Physician Assistant 363A00000X 1187761 NY

Addresses

Primary practice location

780 State RT 3
Clifton, NJ 07012-2328

Mailing address

780 State RT 3
Clifton, NJ 07012-2328
Phone (973) 777-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000456 NJ Practitioner - Physician Assistant 0345634333 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

1286 Springfield Ave
New Providence, NJ 07974-2901
Phone (908) 402-3338

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1187761NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PM Pediatrics of Livingston, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1629730288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 STATE RT 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122328",
            "telephone_number": "973-777-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 STATE RT 3",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122328",
            "telephone_number": "973-777-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMILIANI",
        "first_name": "JEFFREY",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00666200",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1187761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.