Active NPI
Jason C George, M.D.
- Internal Medicine Physician
- East Orange, NJ
National Provider Identifier
1861759490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10354600
- Practice address
- 385 Tremont Ave
Department of Pulmonary and Critical Care Medicine
East Orange, NJ 07018 - Phone
- (973) 676-1000
- Fax
- (973) 395-7034
- NPI assigned
- Apr 20, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA10354600 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA10354600 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MA10354600 | NJ | Primary |
Addresses
Primary practice location
385 Tremont Ave
Department of Pulmonary and Critical Care Medicine
East Orange, NJ 07018
Mailing address
385 Tremont Ave
Department of Pulmonary and Critical Care Medicine
East Orange, NJ 07018
Phone (973) 676-1000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Internal Medicine | Current | Accepting new patients |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients |
Locations
59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
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.
-
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1861759490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"address_2": "DEPARTMENT OF PULMONARY AND CRITICAL CARE MEDICINE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "973-676-1000",
"fax_number": "973-395-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 TREMONT AVE",
"address_2": "DEPARTMENT OF PULMONARY AND CRITICAL CARE MEDICINE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "973-676-1000",
"fax_number": "973-395-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JASON",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA10354600",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA10354600",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10354600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.