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JENNIFER NORTHRIDGE M.D.
NPI 1003132853
Pediatrics - Adolescent Medicine in Hackensack, NJ

Active since April 18, 2010PECOS EnrolledAccepts Medicare Assignment
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2237 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Northridge M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NORTHRIDGE M.D. (NPI 1003132853) is an individual adolescent medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA09877800) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2010).

NPPES Registry Identity

NPI1003132853
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameJENNIFER NORTHRIDGECredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-2237
Phone(551) 996-2237
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2010
Enumeration DateApril 18, 2010
Last NPPES UpdateAugust 16, 2016
✔ NPI 1003132853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NJ · 25MA09877800
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
30 PROSPECT AVE, Hackensack, NJ 07601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Northridge M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577858448
PECOS Enrollment IDI20160817002036
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Northridge's NPI number?

The NPI number for Jennifer Northridge is 1003132853. It was assigned to this individual provider in the NPPES registry on April 18, 2010.

Where is Jennifer Northridge located?

Jennifer Northridge practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2237.

What is Jennifer Northridge's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Jennifer Northridge enrolled in Medicare?

Yes. Jennifer Northridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Northridge was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.