Patrick J McGovern Jr., MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA03639000 Issued in NJ

Practice address

17 Nardone St
Jersey City, NJ 07302

Phone

(201) 858-5705

NPI assigned

Feb 21, 2006

Last updated

Feb 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Rutgers New Jersey Medical School, 1978

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.mcgovernjr@direct.christhospital.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Jersey Medical Services Group, LLC

  dba MetroVein Centers

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1962828277

  NY, Vascular Surgery

  Medicare reassignment Care Compare group NPD
• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD
• MVC Az

  dba Metro Vein Centers

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)
• MVC CT

  dba Metro Vein Centers

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600

  Vascular Surgery

  NPD (past)
• Pottstown Clinic Company LLC

  dba Emergency Medicine Pottstown Tower Health Medical Group

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934
  NPD (past)
• Rehab Synergy PT, PC.

  • Physical Therapy Clinic/Center
  • Woodside, NY
  • NPI 1811322894
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1932174125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WALL ST W STE 360",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713604",
            "telephone_number": "201-821-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NARDONE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-858-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA03639000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Elizabeth McDermott, PA
• Margaret McElwain, LSW
• Timicka McGee
• McGinley Pharmacy, Inc.
• McGinley SQ Pharmacy Inc
• Carly McGraw, LSW
• Patrick McGuire
• Melissa Pritchard McHale, M.D.
• Mary McHugh
• Leslie McIntosh, PSY.D

• Vascular Surgery Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.