Individual provider Active NPI

Brian T Jankowitz, MD

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1740360247
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD427168 Issued in PA
Practice address
3400 Civic Center Boulevard
15TH Floor South Pavilion
Philadelphia, PA 19104
Phone
(215) 662-3487
Fax
(856) 968-7410
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA10627300 NJ
Neurological Surgery Physician 207T00000X MD427168 PA Primary

Addresses

Primary practice location

3400 Civic Center Boulevard
15TH Floor South Pavilion
Philadelphia, PA 19104

Mailing address

3400 Civic Center Boulevard
15TH Floor South Pavilion
Philadelphia, PA 19104
Phone (215) 662-3487

Other practice location 1

2 Capital Way Ste 456
Pennington, NJ 08534-2521
Phone (609) 537-7300

Other practice location 2

3 Cooper Plz Rm 104
Camden, NJ 08103-1407
Phone (856) 968-8695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.jankowitz.1@12833.direct.athenahealth.com Direct

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
I20190920002831 NJ Practitioner - Neurosurgery 3870624356 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7189

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10627300NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Capital Health Multispecialty Group Neurological Surgery CurrentSince Mar 1, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 17, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Neurological Surgery Current Accepting new patients
Capital Health Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Aug 5, 2019 Accepting new patients
Cooper Surgical Associates, PA Neurological Surgery CurrentSince Aug 5, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 17, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Ste 104A
Camden, NJ 08103
Phone (856) 546-8525

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

65 James St
Edison, NJ 08820
Phone (732) 321-7010

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1740360247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "address_2": "15TH FLOOR SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-3487",
            "fax_number": "856-968-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BOULEVARD",
            "address_2": "15TH FLOOR SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-3487",
            "fax_number": "856-968-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way Ste 456",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Cooper Plz Rm 104",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031407",
            "country_code": "US",
            "telephone_number": "856-968-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANKOWITZ",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA10627300",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD427168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.jankowitz.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 456",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.