NPIMap

Individual provider Active NPI

Jan G Mrani, M.D.

  • Internal Medicine Physician
  • Dumont, NJ
National Provider Identifier
1679607212
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA06631600 Issued in NJ
Practice address
175 Washington Ave Ste 17
Dumont, NJ 07628-2936
Phone
(201) 387-2003
NPI assigned
Mar 15, 2007
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 62098 WI
Internal Medicine Physician 207R00000X 38140 AL
Internal Medicine Physician 207R00000X MA06631600 NJ Primary

Addresses

Primary practice location

175 Washington Ave Ste 17
Dumont, NJ 07628-2936

Mailing address

175 Washington Ave Ste 17
Dumont, NJ 07628-2936
Phone (201) 387-2003

Other practice location 1

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8102

Other practice location 2

3400 Highway 78 E
Jasper, AL 35501-8956
Phone (205) 387-4401

Other identifiers 1

IdentifierTypeStateIssuer
7422903MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmrani201117@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140703001881 WI Practitioner - Internal Medicine 5597717686 Reassigns benefits to 5 organizations
I20191024002216 AL Practitioner - Internal Medicine 5597717686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Aurora LLCGroup PAC ID 0244130557, 197 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38140ALMDInternal Medicine Physician
MA06631600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Baycare Aurora, LLC CurrentSince Mar 3, 2020 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 30, 2019 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 19, 2017 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 30, 2019 Accepting new patients
Beloit Health System Inc Internal Medicine Current Accepting new patients
St. Joseph's Health Services, Inc CurrentSince Mar 20, 2019 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

Interoperability endpoints

  • Direct secure messaging: jmrani201117@direct.myadvocateaurora.org
  • Direct secure messaging: jmrani305392@direct.emplifyhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1679607212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WASHINGTON AVE STE 17",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282936",
            "telephone_number": "201-387-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WASHINGTON AVE STE 17",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282936",
            "telephone_number": "201-387-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Water Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "WI",
            "postal_code": "546349054",
            "country_code": "US",
            "telephone_number": "608-489-8102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Highway 78 E",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355018956",
            "country_code": "US",
            "telephone_number": "205-387-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MRANI",
        "first_name": "JAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "62098",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "38140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06631600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7422903",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmrani201117@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Water Ave",
            "city": "Hillsboro",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546349054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "400 Water Ave",
            "city": "Hillsboro",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546349054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.