DR. JAMES WHITNEY JAMES M.D.
NPI 1689105975
Internal Medicine - Geriatric Medicine in Newark, NJ

Q: What is James James's NPI number?

The NPI number for James James is 1689105975. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is James James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for James James was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment

166 LYONS AVE, NEWARK, NJ 07112(973) 926-8491(973) 926-7361 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Oct 22, 2021, Jul 4, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Dr. James Whitney James M.d. NPPES

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

DR. JAMES WHITNEY JAMES M.D. (NPI 1689105975) is an individual geriatric medicine provider in Newark, New Jersey, licensed in New Jersey (25MA11190000) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689105975

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. JAMES WHITNEY JAMESCredential: M.D.

Location Address166 LYONS AVENewark, NJ 07112-2016

Mailing Address166 Lyons AveNewark, NJ 07112-2016 · (973) 926-8491 · Fax (973) 926-7361

Phone(973) 926-8491

Fax(973) 926-7361

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 27, 2017

Last NPPES UpdateApril 8, 20264 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1689105975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NJ · 25MA11190000

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11190000 (NJ)

166 LYONS AVE, Newark, NJ 07112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Whitney James 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 ID2466706734

PECOS Enrollment IDI20211028001585

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.

Medicare Billing Reassignment

Medicare enrollment records show James James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barnabas Health Medical Group PC

3.4 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

283 services249 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

273 services126 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

265 services234 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

165 services95 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

49 services45 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310002

Location201 Lyons AveNewark, NJ 07112 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$16.13 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$21.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

JENNIFER DEMOSTHENE APN

Nurse Practitioner

166 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-8491

SARAH STITES RD

Dietitian, Registered

166 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-2884

SUSHAMA SRIVASTAVA

Internal Medicine

166 LYONS AVE
NEWARK, NJ 07112

Essex County (971) 926-3535

SHIYU WANG MD

Internal Medicine (Rheumatology)

166 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

MRS. LAKSHMI GURURAJARAO MD

Pediatrics

166 LYONS AVE, FAMILY HEALTH CENTER PEDIATRICS
NEWARK, NJ 07112

Essex County (973) 926-3787

DR. WENDY NEAL M.D

Pediatrics (Adolescent Medicine)

166 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7282

ALYSSA KATHERINE SMOLEN MS RDN CDN

Dietitian, Registered

166 LYONS AVE
NEWARK, NJ 07112

Essex County (732) 713-7527

MISBAH US SALAM MBBS

Psychiatry & Neurology (Neurology)

166 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-4813

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 James James's NPI number?

The NPI number for James James is 1689105975. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is James James located?

James James practices at 166 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-8491.

What is James James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is James James enrolled in Medicare?

Yes. James James 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.

Which organization bills Medicare for James James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James James reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 James James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James James accept?

Health plans from Oscar Health list James James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James James affiliated with any hospitals?

According to CMS data, James James is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for James James was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.