Jeanine B. Downie, M. D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA65931 Issued in NJ

Practice address

51 Park St
Montclair, NJ 07042-3439

Phone

(973) 509-6900

Fax

(973) 509-6939

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

State University of Ny Upstate Medical University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Image Dermatology PCGroup PAC ID 5991884710, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Image Dermatology PC

  • Specialist
  • Montclair, NJ
  • NPI 1104027556
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1811959232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "973-509-6900",
            "fax_number": "973-509-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423439",
            "telephone_number": "973-509-6900",
            "fax_number": "973-509-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNIE",
        "first_name": "JEANINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA65931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Dormann, ATC
• Rosita D Dotson
• Elaine Douglas, MD
• Lauren B Dover, OTR/L
• Jacqueline Dowd, CCC-SLP
• Dr Joseph P Pedoto LLC
• Dr Sade D Frazier
• Dr. Fara Azar, LLC
• Dr. Haley Rottenberg Psychology, P.C.
• Melissa Goodman Drappi, RN

• Dermatology Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.