Jaxon J Fernandes (NPI# 1073675740, PAC ID# 5799785093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073675740 |
| PAC ID by PECOS | 5799785093 |
| Professional Enrollment ID | I20070111000055 |
| Full Name | Jaxon J Fernandes |
| Organization Legal Name | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| Address |
1 Clara Maass Dr Belleville NJ 07109-3550 |
| Phone Number | 4694012386 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6204112469 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| 310119 | THE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 4694012386 | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| 201 Lyons Ave, Newark, NJ 07112-2027 | 8008432384 | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| Organization Legal Name | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy E Ponter | Nurse Practitioner | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Jimmy M Paulo | Hospitalist | Riverbank Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Natasha Kasabwala | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Siva Teja Jetty | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Shuang Hou | Nurse Practitioner | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Khurram S Malik | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Sara Ghotb | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 300 2nd Ave, Long Branch, NJ 07740-6303 |
| Swapna Katikaneni | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Andrew Y Kim | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Muhammad S Uppal | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Street Address |
1 CLARA MAASS DR |
| City | BELLEVILLE |
| State | NJ |
| Zip | 07109-3550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy M Paulo | Hospitalist | Riverbank Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Kristi Baron | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia of New Jersey LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Jose A De Trespalacios | Anesthesiology | North American Partners In Anesthesia of New Jersey LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Robert A Giles | Emergency Medicine | Clara Maass Emergency Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Vely A Louis | Anesthesiology | North American Partners In Anesthesia of New Jersey LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Heather S Denigris | Physician Assistant | Newton Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Franzie R Edquilag | Physician Assistant | Newton Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Magdy Y Yacoub | Anesthesiology | North American Partners In Anesthesia of New Jersey LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Radha K Patel | Physician Assistant | Newton Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Mehrdad Hamzeh Langroudi | Anesthesiology | North American Partners In Anesthesia of New Jersey LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed K Abou-taleb | Internal Medicine | 1 Clara Maas Dr, Belleville, NJ 07109 | |
| Marilyn Umali-dizon | Physical Therapy | Silver Lake Physical Therapy LLC | 140 Belmont Ave, Suite 101, Belleville, NJ 07109-1018 |
| Allan R. Mendez | Physical Therapy | Silver Lake Physical Therapy LLC | 140 Belmont Ave, Suite 101, Belleville, NJ 07109-1018 |
| Gayithri R Keshav | Nephrology | 140 Belmont Ave, Suite 103, Belleville, NJ 07109-1018 | |
| Keshavamurthy Shivashankar | Cardiovascular Disease (cardiology) | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | |
| Roger Keshav | Nephrology | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | |
| Dianne P Walker | Internal Medicine | 303 Belmont Ave, Belleville, NJ 07109-1103 | |
| Robert A Marini | Physical Medicine and Rehabilitation | Jersey Rehab Pa | 15 Newark Ave, Belleville, NJ 07109-1123 |
| Felix A Almentero | Physical Medicine and Rehabilitation | Jersey Rehab Pa | 15 Newark Ave, Belleville, NJ 07109-1123 |
| Steven M Lomazow | Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1186 | |
| Find all physicians in zip 07109 | |||
| City | BELLEVILLE |
| Zip Code | 07109 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BELLEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jaxon J Fernandes.
| 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.