Stephen Gentry · 622 Eagle Rock Ave, West Orange, NJ 07052-2994 · Physical Therapy · Jag-One Physical Therapy LLC (2024)

Overview

Stephen Gentry is a physical therapy enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is JAG-ONE PHYSICAL THERAPY LLC. The business address is 622 Eagle Rock Ave, West Orange, NJ 07052-2994. Published on January 12, 2024.

Enrollment Information

NPI 1275300485 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 8527419720 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20240112000381
Full Name STEPHEN GENTRY
Gender M
Graduation Year 2022
Primary Specialty PHYSICAL THERAPY
Organization Legal Name JAG-ONE PHYSICAL THERAPY LLC
Group Practice PAC ID 2769584325
Number of Group Practice Members 207
Address 622 Eagle Rock Ave
West Orange
NJ 07052-2994
Telephone 9736690078
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1275300485 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name STEPHEN GENTRY
Address 1251 Nj 37
Suite 120
Toms River
NJ 08755
Taxonomy Code 225100000X
Enumeration Date 2023-12-07

Organization Information

Organization Legal Name JAG-ONE PHYSICAL THERAPY LLC
Address 622 Eagle Rock Ave
West Orange
NJ 07052-2994
Telephone 9736690078

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Madeline Holtz Physical TherapyJag-One Physical Therapy LLC34 Mountain Blvd, Warren, NJ 07059-2640
Michael Gary Lanigan Physical TherapyJag-One Physical Therapy LLC255 Monmouth Rd, Suite 4, Oakhurst, NJ 07755-1563
Cole John Cusanelli Physical TherapyJag-One Physical Therapy LLC221 Rockingham Row, Princeton, NJ 08540-5759
Chad Joseph Dortu Physical TherapyJag-One Physical Therapy LLC701 W Ave, Suite 201, Ocean City, NJ 08226
Briana Miller Physical TherapyJag-One Physical Therapy LLC2107 Route 35, Holmdel, NJ 07733-2795
Justin Delgado Physical TherapyJag-One Physical Therapy LLC517 River Rd, Edgewater, NJ 07020-1146
Jason Angellano Physical TherapyJag-One Physical Therapy LLC323 Marin Blvd, Jersey City, NJ 07302-3698
Holly Mcbrearty Physical TherapyJag-One Physical Therapy LLC1199 Hudson St, Hoboken, NJ 07030-5305
Matthew V Gillane Physical TherapyJag-One Physical Therapy LLC271 Us Hwy 46 W, Suite G106, Fairfield, NJ 07004-2489
Olutoyin E Aboderin Physical TherapyJag-One Physical Therapy LLC10 Woodbridge Ctr Dr, Suite 102, Woodbridge, NJ 07095-1153
Find all doctors with the same organization

Location Information

Street Address 622 EAGLE ROCK AVE
City WEST ORANGE
State NJ
Zip Code 07052-2994

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Bianca Victoria Arena Occupational TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Brandon Chorzelewski Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Jessica Lynn Lukaszek Occupational TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Mark Roufaeal Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Linda Atta Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Amanda Poulakowski Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Francesco Totino Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Kimberly Cullen Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Kyle Greve Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
Christine Delorenzo Physical TherapyJag-One Physical Therapy LLC622 Eagle Rock Ave, West Orange, NJ 07052-2994
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Claude J Krause Physician AssistantRwjbh Observation Associates, LLC95 Old Short Hills Rd, West Orange, NJ 07052-1008
Daniel Lee Diagnostic RadiologyRegional Womens Health Group LLC101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023
Danny R Diaz Physician AssistantRwjbh Observation Associates, LLC95 Old Short Hills Rd, West Orange, NJ 07052-1008
Larry Siu GastroenterologyBarnabas Health Multispecialty101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023
Amipratapba Fm Gohil Emergency MedicineRwjbh Emergency Medicine Associates, LLC95 Old Short Hills Rd, West Orange, NJ 07052-1008
David O Rahni GastroenterologyBarnabas Health Multispecialty101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023
Patricia Gloria Greenberg Clinical Social WorkerRegional Womens Health Group LLC101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023
Yunseok Namn GastroenterologyBarnabas Health Multispecialty101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023
Alex G Popko Obstetrics/GynecologyRegional Womens Health Group LLC101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023
Wendy Cheung Physician AssistantAdvanced Dermatology Associates, P.a.101 Old Short Hills Rd, West Orange, NJ 07052-1000
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Kim R Gentry GastroenterologyTexas Digestive Disease Consultants PLLC1001 N Waldrop Dr, Suite 509, Arlington, TX 76012-4703
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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Stephen Gentry · 622 Eagle Rock Ave, West Orange, NJ 07052-2994 · Physical Therapy · Jag-One Physical Therapy LLC (2024)
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