Jean M Covino, MPA PA C
Individual provider Active NPI Physician Assistant · Green Brook, NJ
NPI 1689781114 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689781114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00019300 (NJ)
- Practice address
- 1005 North Washington Ave
Green Brook, NJ 08812 - Phone
- (732) 968-8900
- Fax
- (732) 968-4609
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care PA
Practice addresses (Care Compare)
257 Route 22 E
Green Brook, NJ 08812-9997
Phone (732) 968-7878
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140624001616 | NJ | Practitioner - Physician Assistant | 3375767833 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00019300 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medemerge P.a. | Current | Accepting new patients | |
| Ocean County Family Care, P.a. | Current | Accepting new patients | |
| Family Care,P.a. | Past | Accepting new patients |
Locations
2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548
1005 N Washington Ave
#890
Green Brook, NJ 08812
Phone (732) 968-1217
1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00019300 | NJ | Yes |
Addresses
Primary practice location
1005 North Washington Ave
Green Brook, NJ 08812
Mailing address
1005 North Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900
Other providers in Green Brook, NJ
- Ryan C Conover
- Sean M. Cook
- Cornerstone Dental of Green Brook
- Costa Chiropractic Center, P.C.
- Philip Anthony Costa
- Stella D'Ermilio
- Deborah a Lue, MD LLC
- Delta Community Supports, Inc.
- Lopa Desai
- Snehal M Desai
All providers in Green Brook, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.