PROFESSIONAL ASSOCIATES OF JACKSON LLC
NPI 1760546352
Internal Medicine in Jackson, NJ

Active since December 20, 2006
2105 W COUNTY LINE RD, SUITE 4, JACKSON, NJ 08527(732) 367-7575(732) 364-0600 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Professional Associates Of Jackson Llc NPPES

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

PROFESSIONAL ASSOCIATES OF JACKSON LLC (NPI 1760546352) is a healthcare organization registered as an internal medicine in Jackson, New Jersey and active in the NPI registry since December 2006. The organization lists Mukesh Shah, Physician, as its authorized official.

NPPES Registry Identity

NPI1760546352
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROFESSIONAL ASSOCIATES OF JACKSON LLC
Location Address2105 W COUNTY LINE RD, SUITE 4Jackson, NJ 08527-2301
Mailing Address2105 W County Line Rd, Suite 4Jackson, NJ 08527-2301 · (732) 367-7575 · Fax (732) 364-0600
Fax(732) 364-0600
Organization SubpartNo
Authorized OfficialMukesh ShahPhysician · (732) 367-7575
Enumeration DateDecember 20, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1760546352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2105 W COUNTY LINE RD, Jackson, NJ 08527

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Associates Of Jackson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Professional Associates Of Jackson LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1801867395
2105 W COUNTY LINE RD SUITE#4
Jackson, NJ 08527
(732) 367-7575
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1437120920
2105 W COUNTY LINE RD
Jackson, NJ 08527
(732) 367-7575
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013970086
2911 HIGHWAY 88 SUITE B3
Point Pleasant Beach, NJ 08742
(732) 892-9920
✔ PECOS10.0 mi
Nurse Practitioner
NPI 1942757646
507 GLENMERE AVE
Neptune, NJ 07753
(718) 688-9921
✔ PECOS✔ Accepts Medicare12 mi

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 Professional Associates Of Jackson LLC's NPI number?

The NPI number for Professional Associates Of Jackson LLC is 1760546352. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Professional Associates Of Jackson LLC located?

Professional Associates Of Jackson LLC is located at 2105 W County Line Rd Suite 4, Jackson, NJ 08527. The listed phone number is (732) 367-7575.

What is Professional Associates Of Jackson LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Professional Associates Of Jackson LLC enrolled in Medicare?

Yes. Professional Associates Of Jackson LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Associates Of Jackson LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Professional Associates Of Jackson LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Associates Of Jackson LLC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.