Individual provider Active NPI

Samuel Jason Knee

  • Pediatrics Physician
  • New Brunswick, NJ
National Provider Identifier
1962768960
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10370000 Issued in NJ
Practice address
254 Easton Ave
New Brunswick, NJ 08901
Phone
(732) 745-8600
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 278695 NY
Pediatric Sleep Medicine Physician 2080S0012X 25MA10370000 NJ
Pediatrics Physician 208000000X 25MA10370000 NJ Primary

Addresses

Primary practice location

254 Easton Ave
New Brunswick, NJ 08901

Mailing address

34 Central Square Park
Metuchen, NJ 08840-1872
Phone (732) 484-2918

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
I20190522001996 NJ Practitioner - Pediatric Medicine 6709178205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter'S Specialty Physicians PCGroup PAC ID 8426373952, 16 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

500 River Ave
Suite 110
Lakewood, NJ 08701-4738
Phone (732) 339-7360

7 Wirt St
New Brunswick, NJ 08901-1765

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278695NYMDPediatrics Physician
25MA10370000NJMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates CurrentSince May 18, 2020 Accepting new patients
Saint Peter'S Specialty Physicians, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Saint Peter'S University Hospital CurrentSince Apr 10, 2019 Accepting new patients
Saint Peter'S University Hospital CurrentSince Apr 10, 2019 Accepting new patients

Locations

500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

7 Wirt St
Ste 123
New Brunswick, NJ 08901
Phone (732) 339-7910

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

Interoperability endpoints

  • Direct secure messaging: samuel.knee.1@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samuel.knee.3@8568.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1962768960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CENTRAL SQUARE PARK",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401872",
            "telephone_number": "732-484-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEE",
        "first_name": "SAMUEL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "278695",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NJ",
            "license": "25MA10370000",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10370000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.