Active NPI
Iain Andrew Jeffery, D.O.
- Emergency Medicine Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB10529200
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-5000
- NPI assigned
- Jun 28, 2015
- Last updated
- Jul 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 288376 | NY | |
| Emergency Medicine Physician | 207P00000X | 25MB10529200 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
373 Douglass St
#2
Brooklyn, NY 11217-3106
Phone (917) 886-9825
Other practice location 1
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (240) 686-2300
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000
Hospital & facility affiliations
- St John's Episcopal Hospital at South Shore
- Staten Island University Hospital
- Jamaica Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 79.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10529200 | NJ | MD | Emergency Medicine Physician |
| 288376 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Exigence Medical of Binghamton PLLC | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
300 Community Dr
Manhasset, NY 11030
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Emergency Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Binghamton, NY
- NPI 1659464758
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1649652496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 DOUGLASS ST",
"address_2": "#2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173106",
"telephone_number": "917-886-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5000"
}
],
"practiceLocations": [
{
"address_1": "121 Dekalb Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112015425",
"country_code": "US",
"telephone_number": "718-250-8126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFERY",
"first_name": "IAIN",
"middle_name": "ANDREW",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-28",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "288376",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10529200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.