Individual provider Active NPI

James Imm

  • Emergency Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1942567201
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA09655700 Issued in NJ
Practice address
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone
(201) 795-8200
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 25MA09655700 NJ Primary

Addresses

Primary practice location

176 Palisade Ave
Jersey City, NJ 07306-1121

Mailing address

10 Exchange PL
15TH Floor
Jersey City, NJ 07302-3918

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
I20150714000700 NJ Practitioner - Emergency Medicine 6608189188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihpnj ER LLCGroup PAC ID 3870963168, 36 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4695
Phone (201) 858-5000

Hospital & facility affiliations

  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Jul 6, 2015 Accepting new patients
Ihpnj ER LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

Interoperability endpoints

  • Direct secure messaging: james.imm@direct.christhospital.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1942567201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXCHANGE PL",
            "address_2": "15TH FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061121",
            "telephone_number": "201-795-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMM",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09655700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.