Individual provider Active NPI

Teresa H. Jimenez MD, M.D.

  • Obstetrics & Gynecology Physician
  • Bridgewater, NJ
National Provider Identifier
1942622725
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA32089 Issued in NJ
Practice address
1888 Mountain Top Rd
Bridgewater, NJ 08807-2318
Phone
(908) 685-9032
Fax
(908) 685-9035
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA32089 NJ Primary

Addresses

Primary practice location

1888 Mountain Top Rd
Bridgewater, NJ 08807-2318

Mailing address

1888 Mountain Top Rd
Bridgewater, NJ 08807-2318
Phone (908) 685-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA32089NJMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1942622725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 MOUNTAIN TOP RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072318",
            "telephone_number": "908-685-9032",
            "fax_number": "908-685-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 MOUNTAIN TOP RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072318",
            "telephone_number": "908-685-9032",
            "fax_number": "908-685-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MD",
        "first_name": "TERESA",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA32089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.