Active NPI
Jondavid H Jabush, MD
- Surgery Physician
- Hackettstown, NJ
National Provider Identifier
1649486705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA08250000
- Practice address
- 108 Bilby Rd
Suite 303
Hackettstown, NJ 07840-4174 - Phone
- (908) 850-9548
- Fax
- (908) 813-3256
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA08250000 | NJ | Primary |
Addresses
Primary practice location
108 Bilby Rd
Suite 303
Hackettstown, NJ 07840-4174
Mailing address
108 Bilby Rd
Suite 303
Hackettstown, NJ 07840-4174
Phone (908) 850-9548
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000345 | NJ | Practitioner - General Surgery | 2163521535 | Practice locations: Hackettstown, NJ; Stanhope, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rutgers New Jersey Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Bilby Rd
Suite 107
Hackettstown, NJ 07840-4174
Phone (908) 850-9548
14 US Hwy 206
Apt a
Stanhope, NJ 07874-3325
Phone (908) 850-9548
Hospital & facility affiliations
- Newton Medical Center
- Ahs Hospital Corp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 26 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08250000 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jabush Acute Surgical Care LLC | Surgery | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Past | Accepting new patients | |
| Antares Surgical Services LLC | Surgery | Past | Accepting new patients |
| Jondavid H. Jabush | Surgery | Past | Accepting new patients |
Locations
14 US Highway 206
Apt A
Stanhope, NJ 07874
Phone (908) 850-9548
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Red Bank, NJ
- NPI 1215989249
-
- Psychologist
- Red Bank, NJ
- NPI 1609593722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1649486705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BILBY RD",
"address_2": "SUITE 303",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078404174",
"telephone_number": "908-850-9548",
"fax_number": "908-813-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BILBY RD",
"address_2": "SUITE 303",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078404174",
"telephone_number": "908-850-9548",
"fax_number": "908-813-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABUSH",
"first_name": "JONDAVID",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA08250000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.