Individual provider Active NPI

Jason E Estok, MD

  • Student in an Organized Health Care Education/Training Program
  • Piscataway, NJ
National Provider Identifier
1841496098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
17B Pleasantview Dr
Piscataway, NJ 08854-3406
Phone
(215) 284-2864
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

17B Pleasantview Dr
Piscataway, NJ 08854-3406

Mailing address

17B Pleasantview Dr
Piscataway, NJ 08854-3406
Phone (215) 284-2864

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
I20110426000395 NJ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3870778400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenafly Psychiatric Associates LLCGroup PAC ID 1759345614, 10 clinicians
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 568-8288

59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 10, 2025 Accepting new patients
Tenafly Psychiatric Associates, L.L.C. CurrentSince Apr 8, 2011 Accepting new patients

Locations

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

111 Dean Dr
Tenafly, NJ 07670
Phone (201) 503-7173

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841496098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17B PLEASANTVIEW DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543406",
            "telephone_number": "215-284-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17B PLEASANTVIEW DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543406",
            "telephone_number": "215-284-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOK",
        "first_name": "JASON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.