Individual provider Active NPI

Jason Ronald Cumbers, M.D.

  • Vascular Surgery Physician
  • Bronx, NY
National Provider Identifier
1841501764
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
325797 Issued in NY
Practice address
34 Marconi St Ste 260
Bronx, NY 10461-2755
Phone
(668) 607-2308
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09704200 NJ
Surgery Physician 208600000X 51036 KY
Vascular Surgery Physician 2086S0129X 325797 NY Primary

Addresses

Primary practice location

34 Marconi St Ste 260
Bronx, NY 10461-2755

Mailing address

48 Hillcrest Ave
Berkeley Heights, NJ 07922-1918
Phone (718) 288-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231016000258 NY Practitioner - Vascular Surgery 3173873411 Reassigns benefits to 1 organization
I20251223001961 NJ Practitioner - Vascular Surgery 3173873411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

1000 Atrium Way
Suite 103
Mount Laurel, NJ 08054-3903
Phone (866) 607-2308

200 Metroplex Dr
Suite 410
Edison, NJ 08817-2600
Phone (866) 607-2308

34 Marconi St
Suite 260
Bronx, NY 10461-2710
Phone (866) 607-2308

385 Prospect Ave
Suite 316
Hackensack, NJ 07601-2570
Phone (248) 847-4925

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09704200NJMDSurgery Physician
325797NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical Services Group, LLC Surgery CurrentSince Sep 25, 2023 Accepting new patients
Pottstown Clinic Company LLC Surgery Past Accepting new patients
MVC Az Surgery Past Accepting new patients
MVC CT Surgery Past Accepting new patients
MVC PA PLLC Surgery PastSince Sep 25, 2023 Accepting new patients

Locations (25 of 26)

400 Broadacres Dr
Ste 140
Bloomfield, NJ 07003

525 Jack Martin Blvd
Ste 200
Brick, NJ 08724
Phone (732) 836-9669

200 Metroplex Dr
Ste 410
Edison, NJ 08817

83 Hanover Rd
Ste 230
Florham Park, NJ 07932

385 Prospect Ave
Ste 316
Hackensack, NJ 07601
Phone (201) 581-0773

26 Journal Sq
Ste 205
Jersey City, NJ 07306

475 County Road 520
Ste 104
Marlboro, NJ 07746

1000 Atrium Way
Ste 103
Mount Laurel, NJ 08054
Phone (856) 235-9995

811 Executive Dr
Ste 813
Princeton, NJ 08540

811 Executive Dr
Ste 316
Princeton, NJ 08540

855 Lehigh Ave
Ste 201
Union, NJ 07083

34 Mountain Blvd
Ste A203
Warren, NJ 07059

1680 Route 23
Ste 330
Wayne, NJ 07470

34 Marconi St
Ste 260
Bronx, NY 10461
Phone (668) 607-2308

522 Courtlandt Ave
Fl 2
Bronx, NY 10451
Phone (718) 312-6476

150 Meserole St
Fl Second
Brooklyn, NY 11206

408 Jay St
Ste 400
Brooklyn, NY 11201

51 Atlantic Ave
Fl 100
Floral Park, NY 11001
Phone (914) 426-7423

6860 Austin St
Ste 400
Forest Hills, NY 11375
Phone (718) 730-9034

115 Broadhollow Rd
Ste 320
Melville, NY 11747

111 E 57th St
Rm 202
New York, NY 10022
Phone (646) 921-6266

100 Crosby St
Rm 406
New York, NY 10012
Phone (212) 822-3515

1500 Route 112
Bldg 10
Port Jefferson Station, NY 11776
Phone (631) 476-7300

3010 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 251-1261

1200 South Ave
Ste 302
Staten Island, NY 10314
Phone (718) 494-1900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jcumbers72669@bhkydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1841501764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HILLCREST AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221918",
            "telephone_number": "718-288-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARCONI ST STE 260",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612755",
            "telephone_number": "668-607-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBERS",
        "first_name": "JASON",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09704200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "51036",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "325797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.