Physician Compare National (NPI:1851457618)

HEALTHCARE PROVIDER: JAY FITZGERALD DORSEY MD, PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851457618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628147238
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160315002482
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DORSEY
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749180198
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	363
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	239 HURFFVILLE CROSSKEYS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 190
	Group Practice or individual's line 2 address
City	SEWELL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080804005
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8563418400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL OF UNIV OF PENNSYLVANIA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390226
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PENNSYLVANIA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y