NPIMap

Individual provider Active NPI

Jason F. White, M.D.

  • Family Medicine Physician
  • Watertown, NY
National Provider Identifier
1992758270
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231919 Issued in NY
Practice address
53-59 Public Square Suite 301
Watertown Internists, PC
Watertown, NY 13601
Phone
(315) 782-2141
Fax
(315) 782-5123
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 231919 NY Primary

Addresses

Primary practice location

53-59 Public Square Suite 301
Watertown Internists, PC
Watertown, NY 13601

Mailing address

53-59 Public Square
Suite 301 - Watertown Internists, PC
Watertown, NY 13601-2674
Phone (315) 782-2141

Other identifiers 1

IdentifierTypeStateIssuer
02571942MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001098 NY Practitioner - Family Practice 0042285223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watertown Internists PCGroup PAC ID 1355491606, 10 clinicians

Practice addresses (Care Compare)

53 -59 Public SQ
Suite 301
Watertown, NY 13601-2674
Phone (315) 782-2141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Internists PC CurrentSince Apr 1, 2015 Accepting new patients

Locations

53-59 Public Sq
Ste 301
Watertown, NY 13601
Phone (315) 782-2141

Interoperability endpoints

  • Direct secure messaging: jwhite@watertowninternists.medentdirect.com
  • Direct secure messaging: jwhite@45cf6325.micromddirect.com

Organizations & group practices 1

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1992758270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQUARE",
            "address_2": "SUITE 301 - WATERTOWN INTERNISTS, PC",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-782-2141",
            "fax_number": "315-782-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQUARE SUITE 301",
            "address_2": "WATERTOWN INTERNISTS, PC",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-2141",
            "fax_number": "315-782-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JASON",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02571942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.