Individual provider Active NPI

Jorge L Mayoral, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Morristown, NJ
National Provider Identifier
1992798813
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD431776 Issued in PA
Practice address
95 Mount Kemble Ave
Thebaud Building, Fourth Floor
Morristown, NJ 07960-5155
Phone
(973) 267-2293
Fax
(973) 267-3144
NPI assigned
Aug 25, 2005
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD431776 PA Primary
Physical Medicine & Rehabilitation Physician 208100000X MA068155 NJ

Addresses

Primary practice location

95 Mount Kemble Ave
Thebaud Building, Fourth Floor
Morristown, NJ 07960-5155

Mailing address

95 Mount Kemble Ave
Thebaud Building, Fourth Floor
Morristown, NJ 07960-5155
Phone (973) 267-2293

Other identifiers 1

IdentifierTypeStateIssuer
8020507MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171227000045 PA Practitioner - Physical Medicine and Rehabilitation 0446449342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA068155NJMDPhysical Medicine & Rehabilitation Physician
MD431776PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc CurrentSince Nov 1, 2017 Accepting new patients
Family Care Centers Inc. CurrentSince Nov 1, 2017 Accepting new patients
Associates in Rehabilitation Medicine, PC Physical Medicine & Rehabilitation Past Accepting new patients
Rehabilitation Medicine Associates, P.C. Physical Medicine & Rehabilitation Past Accepting new patients
TJH Medical Services, P.C. Physical Medicine & Rehabilitation Past Accepting new patients
Liberty Rehabilitation Associates Physical Medicine & Rehabilitation Past Accepting new patients
Post-Acute Medical Associates, P.C. Past Accepting new patients

Locations

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

Organizations & group practices 7

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1992798813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "THEBAUD BUILDING, FOURTH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-267-2293",
            "fax_number": "973-267-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "THEBAUD BUILDING, FOURTH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-267-2293",
            "fax_number": "973-267-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORAL",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD431776",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA068155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8020507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.