Individual provider Active NPI

Jory G Magidson I, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Morristown, NJ
National Provider Identifier
1669449526
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA04232900 Issued in NJ
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5612
Fax
(973) 290-7370
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA04232900 NJ Primary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 25MA04232900 NJ
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 25MA04232900 NJ

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

100 Madison Ave
Carol Simon Cancer Center Suite #C4501
Morristown, NJ 07960-6136

Other identifiers 1

IdentifierTypeStateIssuer
0646709MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000792 NJ Practitioner - Pathology 5698878254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Columbia University College of Physicians and Surgeons, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Morristown Pathology Associates PAGroup PAC ID 4981699717, 26 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5600

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 10, 1989 Accepting new patients
Summit Medical Group PA CurrentSince Dec 14, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Dec 14, 2010 Accepting new patients
Maternal Fetal Medicine of Practice Associates, PA Current Accepting new patients
Promed Pathology, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

100 Madison Ave
Ste C4501
Morristown, NJ 07960

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1669449526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "CAROL SIMON CANCER CENTER SUITE #C4501",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5612",
            "fax_number": "973-290-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDSON",
        "first_name": "JORY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA04232900",
            "primary": true
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "NJ",
            "license": "25MA04232900",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NJ",
            "license": "25MA04232900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.