Active NPI
Jean-Eddy Larose, DO
- Internal Medicine Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MB09141300
- Practice address
- 254 Easton Ave
New Brunswick, NJ 08901-1766 - Phone
- (732) 745-8600
- NPI assigned
- Jan 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MB09141300 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | OS015646 | PA |
Addresses
Primary practice location
254 Easton Ave
New Brunswick, NJ 08901-1766
Mailing address
11 Steven Ter
West Orange, NJ 07052-2913
Phone (973) 243-1954
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Overlook Medical Center
- Morristown Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09141300 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S Healthcare System Physician Associates | Current | Accepting new patients | |
| Practice Associates Medical Group | Internal Medicine | Current | Accepting new patients |
| Ahs Hospital Corp. | Past | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#P
Paterson, NJ 07503
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
Interoperability endpoints
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- Community Based Hospice Care Agency
- Morristown, NJ
- NPI 1144324765
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1750529012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 STEVEN TER",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522913",
"telephone_number": "973-243-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "JEAN-EDDY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-25",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB09141300",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS015646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.