Individual provider Active NPI

Jennifer D. Pompliano, D.O.

  • Specialist
  • West Long Branch, NJ
National Provider Identifier
1942240098
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MB073931 Issued in NJ
Practice address
1019 Broadway
West Long Branch, NJ 07764-1326
Phone
(732) 229-6797
Fax
(732) 229-6893
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MB073931 NJ Primary

Addresses

Primary practice location

1019 Broadway
West Long Branch, NJ 07764-1326

Mailing address

5 Bayonne Ave
Monmouth Beach, NJ 07750-1001
Phone (732) 229-6797

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
I20041026000628 NJ Practitioner - Obstetrics/Gynecology 9436110053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

911 E County Line Rd
West Long Branch OB GYN
Lakewood, NJ 08701-2069
Phone (732) 367-9699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB073931NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Specialist CurrentSince Jan 16, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 16, 2024 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

Interoperability endpoints

  • Direct secure messaging: jennifer.pompliano.1@6387.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1942240098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BAYONNE AVE",
            "city": "MONMOUTH BEACH",
            "state": "NJ",
            "postal_code": "077501001",
            "telephone_number": "732-229-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641326",
            "telephone_number": "732-229-6797",
            "fax_number": "732-229-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPLIANO",
        "first_name": "JENNIFER",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MB073931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.