Ejo John, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA11668600 Issued in NJ

Practice address

40 Fuld St Ste 305
Trenton, NJ 08638-5247

Phone

(609) 394-6338

NPI assigned

Jun 12, 2015

Last updated

Jul 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ejo Mannaparambil John Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score

61.15 of 100Reported as group

Quality

36.67

Improvement activities

40

Cost

61.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejo.john.1@12833.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
• Direct secure messaging: john.ejo.1@12833.direct.athenahealth.com

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.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438
  Medicare reassignment NPD
• Platinum Hospitalists LLP

  dba Platinum Continuity and Specialty Clinic

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation
• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1639550841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST STE 305",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-394-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST STE 305",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-394-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 S Green Valley Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123145",
            "country_code": "US",
            "telephone_number": "702-794-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10624 S Eastern Ave # A-955",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89052",
            "country_code": "US",
            "telephone_number": "702-800-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "EJO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT208374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "17896",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA11668600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ejo.john.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Fuld St Ste 305",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086385247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EJO",
            "last_name": "MANNAPARAMBIL JOHN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amber L. Jezierski, APN
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• Delaine Johnson
• Holly R Johnson, RN
• Jarek Lee Johnson, PT, DPT
• Jennifer Latrice Johnson

• Nephrology Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.