Active NPI
Adam D Jarrett, M.D.
- Internal Medicine Physician
- Ogdensburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 184661-1
- Practice address
- 214 King St
Ogdensburg, NY 13669-1142 - Phone
- (315) 393-3600
- NPI assigned
- Jun 23, 2006
- Last updated
- Jun 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 184661-1 | NY | Primary |
Addresses
Primary practice location
214 King St
Ogdensburg, NY 13669-1142
Mailing address
112 Caroline St
Ogdensburg, NY 13669-1508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02728843 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184661-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Breast Care Partners PC | Current | Accepting new patients | |
| Carthage Area Hospital, Inc. | Current | Accepting new patients | |
| Prospect Medical Office, LLC | Past | Accepting new patients | |
| Mulkay Cardiology Consultants at Holy Name Medical Center, PC | Past | Accepting new patients | |
| Holy Name Anesthesia Partners | Past | Accepting new patients | |
| Prospect Medical Office, LLC | Internal Medicine | Past | Accepting new patients |
| North Jersey Medical Associates, PC | Past | Accepting new patients |
Locations
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
39 W Main St
Canton, NY 13617
Phone (315) 379-4700
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
100 Horwood Pl
Ogdensburg, NY 13669
Phone (315) 394-0426
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542
3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Pulmonary Diagnostics Certified Respiratory Therapist
- Teaneck, NJ
- NPI 1942827027
-
dba Practice Resources LLC
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Critical Access Hospital
- Carthage, NY
- NPI 1891104717
-
- Specialist
- Teaneck, NJ
- NPI 1366617698
-
- Anesthesiology Physician
- Teaneck, NJ
- NPI 1457907461
-
- Cardiovascular Disease Physician
- Hackensack, NJ
- NPI 1366878019
-
- Specialist
- Midland Park, NJ
- NPI 1316198922
-
- Internal Medicine Physician
- Midland Park, NJ
- NPI 1609956556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1952337859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CAROLINE ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691142",
"telephone_number": "315-393-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRETT",
"first_name": "ADAM",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "184661-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02728843",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.