JAE MEDICAL CLINIC, LLC
NPI 1679766125
Clinic/Center - Medical Specialty in Jersey City, NJ
About Jae Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE MEDICAL CLINIC, LLC (NPI 1679766125) is a healthcare organization registered as a medical specialty in Jersey City, New Jersey and active in the NPI registry since August 2007. The organization lists Zorayda Olaya Deleon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jae Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jae Medical Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jae Medical Clinic, LLC's NPI number?
The NPI number for Jae Medical Clinic, LLC is 1679766125. It was assigned to this organization in the NPPES registry on August 18, 2007.
Where is Jae Medical Clinic, LLC located?
Jae Medical Clinic, LLC is located at 311 Palisade Ave, Jersey City, NJ 07307. The listed phone number is (201) 963-5500.
What is Jae Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Jae Medical Clinic, LLC enrolled in Medicare?
Yes. Jae Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jae Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jae Medical Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jae Medical Clinic, LLC was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jae Medical Clinic, Llc · NPI 1679766125
Medical Specialty organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since August 18, 2007.
## Identity
- **NPI:** 1679766125 (Entity type: Organization)
- **Enumerated:** August 18, 2007
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Zorayda Deleon, PRESIDENT
## Practice location
- **Address:** 311 PALISADE AVE, Jersey City, NJ 07307-1772
- **Phone:** (201) 963-5500 · **Fax:** (201) 963-5563
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2015
- **Other identifiers:** Medicare UPIN H80480 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1679766125) · Data from the CMS NPPES public registry.