NPIMap

Individual provider Active NPI

Doney B Jain, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1720484777
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09221000 Issued in NJ
Practice address
751 Bergen Ave
Jersey City, NJ 07306-4705
Phone
(201) 946-1200
Fax
(201) 946-1201
NPI assigned
Nov 18, 2014
Last updated
Nov 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09221000 NJ Primary

Addresses

Primary practice location

751 Bergen Ave
Jersey City, NJ 07306-4705

Mailing address

751 Bergen Ave
Jersey City, NJ 07306-4705
Phone (201) 946-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526001574 NJ Practitioner - General Practice 7012237449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Standard Medical Group PCGroup PAC ID 2961762554, 32 clinicians

Practice addresses (Care Compare)

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09221000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Standard Medical Group PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Helms Medical Services, LLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Runnells Operating LLC Past Accepting new patients
Cardiology and Vascular Consultants of New Jersey Past Accepting new patients

Locations

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Runnells Center for Rehabilitation & HealthcareBerkeley Heights, NJ, CCN 315009 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Mar 20, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Runnells Operating LLC

    dba Runnells Center for Rehabilitation & Healthcare

    • Skilled Nursing Facility
    • Berkeley Heights, NJ
    • NPI 1144622374

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 8

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1720484777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-946-1200",
            "fax_number": "201-946-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-946-1200",
            "fax_number": "201-946-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "DONEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09221000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.