Jill Mortensen (NPI# 1609816511, PAC ID# 4789606575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1609816511 |
| PAC ID by PECOS | 4789606575 |
| Professional Enrollment ID | I20051221000253 |
| Full Name | Jill Mortensen |
| Organization Legal Name | GPS PHYSICIAN GROUP OF NEW JERSEY, PC |
| Address |
875 Route 202/206 Bridgewater NJ 08807-1861 |
| Phone Number | 9085268600 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 4688933674 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310069 | INSPIRA MEDICAL CENTER ELMER |
| Address | Phone | Organization |
|---|---|---|
| 875 Route 202/206, Bridgewater, NJ 08807-1861 | 9085268600 | GPS PHYSICIAN GROUP OF NEW JERSEY, PC |
| 1203 N High St, Suite A, Millville, NJ 08332-2530 | 8563270182 | CUMBERLAND FAMILY MEDICINE LLC |
| 10 Sterling Dr, Piscataway, NJ 08854-4911 | 7329172900 | GEPS PHYSICIAN GROUP OF NEW JERSEY PC |
| Organization Legal Name | GPS PHYSICIAN GROUP OF NEW JERSEY, PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Elizabeth Shirato | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 10 Sterling Dr, Piscataway, NJ 08854-4911 |
| Nadya D Poretta | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Dayaparan Nadarajah | Internal Medicine | Gps Physician Group of New Jersey, PC | 875 Route 202/206, Bridgewater, NJ 08807-1861 |
| Ana Gomes | Family Medicine | Gps Physician Group of New Jersey, PC | 249 High St, Newton, NJ 07860-9600 |
| Monica A Fernicola | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 875 Route 202/206, Bridgewater, NJ 08807-1861 |
| Brian J Davis | Family Medicine | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Beth A Taylor | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Jenna Sterling | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Joseph Correia | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Tien T Nguyen | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 115 Sunset Rd, Burlington, NJ 08016-4153 |
| Street Address |
875 ROUTE 202/206 |
| City | BRIDGEWATER |
| State | NJ |
| Zip | 08807-1861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayaparan Nadarajah | Internal Medicine | Gps Physician Group of New Jersey, PC | 875 Route 202/206, Bridgewater, NJ 08807-1861 |
| Monica A Fernicola | Nurse Practitioner | Gps Physician Group of New Jersey, PC | 875 Route 202/206, Bridgewater, NJ 08807-1861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard V Buonocore | Neurosurgery | Neurosurgical Associates of Central Jersey.p.a. | 1200 Us Hwy 22 E, 2nd Floor, Bridgewater, NJ 08807 |
| Dunja Cronje | Podiatry | Skybridge Healthcare Limited Liability Company | 720 Rt, Bridgewater, NJ 08807 |
| Eric S Friedman | Ophthalmology | Associated Retinal Consultants LLC | 1200 Route 22 E 1st Floor, Bridgewater, NJ 08807 |
| Rohit Gogna | Podiatry | Skybridge Healthcare Limited Liability Company | 720 Rt, Bridgewater, NJ 08807 |
| James M Chimenti | Neurosurgery | Neurosurgical Associates of Central Jersey.p.a. | 1200 Us Hwy 22 E, 2nd Floor, Bridgewater, NJ 08807 |
| Jay J More | Neurosurgery | Neurosurgical Associates of Central Jersey.p.a. | 1200 Us Hwy 22 E, 2nd Floor, Bridgewater, NJ 08807 |
| Frederick H Richardson | Physical Therapy | Physical Therapy Center of Excellence, LLC | 1041 Us Hwy 202/206, Bridgewater, NJ 08807-1291 |
| Jillian Lipari | Physical Therapy | Physical Therapy Center of Excellence, LLC | 1041 Us Hwy 202/206, Bridgewater, NJ 08807-1291 |
| Karin E Peterson | Physical Therapy | Physical Therapy Center of Excellence, LLC | 1041 Us Hwy 202/206, Bridgewater, NJ 08807-1291 |
| Bradley J Mcadam | Chiropractic | 794 Us Hwy 202/206 N, Bridgewater, NJ 08807-1704 | |
| Find all physicians in zip 08807 | |||
| City | BRIDGEWATER |
| Zip Code | 08807 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRIDGEWATER + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.