Jeffrey P Jadach

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06982700 Issued in NJ

Practice address

190 Chelsea Ave
Long Branch, NJ 07740-6712

Phone

(732) 870-8500

NPI assigned

Oct 17, 2023

Sex

Male

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment
• Philip House Outpatient Services

  • Substance Abuse Rehabilitation Facility
  • Long Branch, NJ
  • NPI 1902043052
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1861274672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CHELSEA AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406712",
            "telephone_number": "732-870-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CHELSEA AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406712",
            "telephone_number": "732-870-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADACH",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00366700",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06982700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anora Isayeva, DDS
• J.S. Ullman
• Yvonne Jackson, RN
• Lolita C Jacob, A.P.R.N.
• Cecilia Jacome Angel, MD
• Megha Jain, MD
• Prateek Jain, MD
• James G. Roros, M.D., L.L.C.
• Joseph H Jamieson, PT
• Janet Rustia

• Social Worker in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.