Individual provider Active NPI

Poiyniba D Jadeja, MD

  • Family Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1962426171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07349800 Issued in NJ
Practice address
941 White Horse Ave
Suite 18
Hamilton, NJ 08610-1407
Phone
(609) 581-5900
Fax
(609) 581-5901
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07349800 NJ Primary

Addresses

Primary practice location

941 White Horse Ave
Suite 18
Hamilton, NJ 08610-1407

Mailing address

941 White Horse Ave
Suite 18
Hamilton, NJ 08610-1407
Phone (609) 581-5900

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07349800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Urology Limited Liability Company PastSince Sep 24, 2023 Accepting new patients
Advanced Urologic Radiation Associates, LLC PastSince Jul 12, 2009 Accepting new patients
Lakewood Urology Limited Liability Company PastSince Jul 1, 2001 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962426171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE AVE",
            "address_2": "SUITE 18",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE AVE",
            "address_2": "SUITE 18",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADEJA",
        "first_name": "POIYNIBA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07349800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.