Jesse Phelps, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00804100 Issued in NJ

Practice address

2391 Highway 36
Atlantic Highlands, NJ 07716-2532

Phone

(848) 488-2200

Fax

(848) 300-5194

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment Care Compare group NPD
• Eastpointe Medical LLC

  • Internal Medicine Physician
  • Atlantic Highlands, NJ
  • NPI 1164168837
  NPD
• Iortho NJ LLC

  • Physical Medicine & Rehabilitation Physician
  • Atlantic Highlands, NJ
  • NPI 1346011947
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1801670815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MEGILL RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536923",
            "telephone_number": "732-856-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 HIGHWAY 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162532",
            "telephone_number": "848-488-2200",
            "fax_number": "848-300-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JESSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00804100",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00804100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Ortiz
• Page Chiropractic
• Julie Page, DC
• Jessica Parisik
• Bianca Perdomo
• Physically Sound
• Malathi Pilla, MD
• Alyssa Plancey
• Jessica Queller Katz, LMT
• Juliet Quiles, LAC

• Medical Physician Assistant in Atlantic Highlands, NJ
• Providers in Atlantic Highlands, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.

Verify at the official NPI Registry.