Individual provider Active NPI

Jay Steinberg, D.O.

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1720294069
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08505400 Issued in NJ
Practice address
400 Medical Center Dr Ste F
Sewell, NJ 08080
NPI assigned
May 15, 2007
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08505400 NJ Primary
Surgery Physician 208600000X 25MB08505400 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MB08505400 NJ

Addresses

Primary practice location

400 Medical Center Dr Ste F
Sewell, NJ 08080

Mailing address

400 Medical Center Dr Ste F
Sewell, NJ 08080-2362
Phone (856) 716-6598

Other practice location 1

2211 Chapel Ave W
Suite 301
Cherry Hill, NJ 08002
Phone (856) 716-6598

Other identifiers 1

IdentifierTypeStateIssuer
0186031MedicaidNJ

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
I20090604000343 NJ Practitioner - Family PracticePractitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 2769579028 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince May 31, 2021 Accepting new patients
Atlanticare Physician Group PA Family Medicine Current Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince May 31, 2021 Accepting new patients
Vascular Anesthesia Associates PLLC Past Accepting new patients

Locations

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

55 Madison Ave
Ste 400
Morristown, NJ 07960
Phone (973) 983-3443

309 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
Phone (267) 408-6770

Organizations & group practices 4

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.

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": "1622592000000",
    "number": "1720294069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR STE F",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802362",
            "telephone_number": "856-716-6598",
            "fax_number": "856-716-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL CENTER DR STE F",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Chapel Ave W",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "08002",
            "country_code": "US",
            "telephone_number": "856-716-6598",
            "fax_number": "856-716-6659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08505400",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB08505400",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MB08505400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186031",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.