Dr Samir C Jethwa, DO - Medicare Diagnostic Radiology in Brick, NJ

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Dr Samir C Jethwa, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Brick, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Jersey Shore Imaging Llc, University Radiology At Cooper Llc, Flemington Radiology Associates Llc, University Radiology Group Llc, University Radiology-atlantic, Llc, University Radiology At Trinitas Llc and his current practice location is 425 Jack Martin Blvd, Brick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 836-4752.

Dr Samir C Jethwa is licensed to practice in New Jersey (license number 25MB09398100) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871736108.

Contact Information

Dr Samir C Jethwa, DO
425 Jack Martin Blvd,
Brick, NJ 08724-7732
(732) 836-4752
Not Available

Map and Direction




Physician's Profile

Full NameDr Samir C Jethwa
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location425 Jack Martin Blvd, Brick, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samir C Jethwa attended and graduated from Rowan University School Of Osteopathic Medicine in 2006
  NPI Data:
  • NPI Number: 1871736108
  • Provider Enumeration Date: 04/16/2009
  • Last Update Date: 12/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5890929285
  • Enrollment ID: I20160401000062

Medical Identifiers

Medical identifiers for Dr Samir C Jethwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871736108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 2769431 (New York)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MB09398100 (New Jersey)Primary
2085R0202XRadiology - Diagnostic Radiology 25MB09398100 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology 2769431 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hunterdon Medical CenterFlemington, NJHospital
Raritan Bay Medical Center Perth Amboy DivisionPerth amboy, NJHospital
Jersey Shore University Medical CenterNeptune, NJHospital
Robert Wood Johnson University Hospital - SomersetSomerville, NJHospital
Jersey City Medical CenterJersey city, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jersey Shore Imaging Llc1355408212134
University Radiology At Cooper Llc458705369955
Flemington Radiology Associates Llc529414581958
University Radiology Group Llc6608868500232
University Radiology-atlantic, Llc6901059864122
University Radiology At Trinitas Llc913317463497

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samir C Jethwa allows following entities to bill medicare on his behalf.
Entity NameUniversity Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154367803
PECOS PAC ID: 6608868500
Enrollment ID: O20040331001432
Entity NameUniversity Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154367803
PECOS PAC ID: 6608868500
Enrollment ID: O20040501000035
Entity NameUniversity Radiology At Trinitas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366526279
PECOS PAC ID: 9133174634
Enrollment ID: O20050317000492
Entity NameUniversity Radiology At Robert Wood Johnson, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710131677
PECOS PAC ID: 7810052388
Enrollment ID: O20090217000263
Entity NameJersey Shore Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538304019
PECOS PAC ID: 1355408212
Enrollment ID: O20090319000362
Entity NameUniversity Radiology-atlantic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477802064
PECOS PAC ID: 6901059864
Enrollment ID: O20130102000114
Entity NameFlemington Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942816475
PECOS PAC ID: 5294145819
Enrollment ID: O20201110000349
Entity NameUniversity Radiology At Cooper Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669056248
PECOS PAC ID: 4587053699
Enrollment ID: O20211111000439

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samir C Jethwa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samir C Jethwa, DO
425 Jack Martin Blvd,
Brick, NJ 08724-7732

Ph: (732) 836-4752		Dr Samir C Jethwa, DO
425 Jack Martin Blvd,
Brick, NJ 08724-7732

Ph: (732) 836-4752

Reviews and Comments


Radiology Doctors in Brick, NJ

Dr. Douglas Andrew Miller, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-836-4109    
Amelia Jean Cardo, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724
Phone: 609-677-9729    Fax: 609-652-6270
Johanna Marie Del're Kalemba, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-840-6500    Fax: 732-840-6459
Dr. Nathan Kaufman, M.D
Radiology
Medicare: Medicare Enrolled
Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-836-4130    Fax: 732-836-4036
Jeffrey Dipaolo, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-974-8011    Fax: 732-974-8820
Dr. Richard Lansing Dillon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-836-4083    
Patrick J. O'connor Jr., D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724
Phone: 732-974-8011    Fax: 732-974-8820

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.