Individual provider Active NPI

John Jines, APN

  • Family Nurse Practitioner
  • Wood Ridge, NJ
National Provider Identifier
1720693427
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR19204700 Issued in NJ
Practice address
118 Union St
Wood Ridge, NJ 07075-2415
Phone
(615) 517-0920
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR19204700 NJ Primary

Addresses

Primary practice location

118 Union St
Wood Ridge, NJ 07075-2415

Mailing address

118 Union St
Wood Ridge, NJ 07075-2415
Phone (615) 517-0920

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000499 NJ Practitioner - Nurse Practitioner 7517379399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

3626 Route 1
Princeton, NJ 08540-5922
Phone (732) 917-2900

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR19204700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince May 23, 2021 Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (855) 699-6312

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

130 Terhune Dr
Wayne, NJ 07470
Phone (973) 616-5815

Organizations & group practices 1

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1720693427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 UNION ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752415",
            "telephone_number": "615-517-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 UNION ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070752415",
            "telephone_number": "615-517-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINES",
        "first_name": "JOHN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR19204700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Ridge, NJ

Sources for this page

Verify at the official NPI Registry.