Active NPI
Jeff Dejoseph
- Home Health Aide
- Ridgewood, NJ
National Provider Identifier
1831644434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HPO194700
- Practice address
- 27 Chestnut St
Ridgewood, NJ 07450-3872 - Phone
- (201) 299-4242
- Fax
- (201) 299-6521
- NPI assigned
- Aug 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HPO194700 | NJ | Primary |
Addresses
Primary practice location
27 Chestnut St
Ridgewood, NJ 07450-3872
Mailing address
27 Chestnut St
Ridgewood, NJ 07450-3872
Phone (201) 299-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HPO194700 | NJ | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Degree Care, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Ridgewood, NJ
- NPI 1225418098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1831644434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503872",
"telephone_number": "201-299-4242",
"fax_number": "201-299-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503872",
"telephone_number": "201-299-4242",
"fax_number": "201-299-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJOSEPH",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NJ",
"license": "HPO194700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.