CORTLYN JETER (MD) – Emergency Medicine Physician, NPI 1336215516

CORTLYN JETER (MD) is a healthcare provider. based in Paterson, New Jersey. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MA06215400 (NJ). The NPI Number for CORTLYN JETER (MD) is 1336215516

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
CORTLYN JETER (MD)
NPI
1336215516
Phone
(973) 754-2040
Address
703 MAIN ST
Enumeration Date
28 November 2006
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
2129873100
Graduation Year
1993 (33 years ago)
PAC ID
6002868486
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20050727001124
Address ID
NY100296508NE1468XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for CORTLYN JETER (MD)

  • St. Joseph’s Regional Medical Center, 703, Main Street, Paterson, Passaic County, New Jersey, 07503, United States

    DEPT OF EMERG MEDICINE

    PATERSON, NJ 075032621

    Phone: (973) 754-2040

    Type: Location

  • 703 Main St

    Dept of Emerg Medicine

    Paterson, NJ 075032621

    Phone: (973) 754-2040

    Type: Location

  • MOUNT SINAI MEDICAL CENTER

    1 GUSTAVE L. LEVY PLACE

    NEW YORK, NY 10029

    Phone: (212) 241-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050214000623IEmergency MedicineNJTBD
I20050727001124IEmergency MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only154126$0
99285Emergency department visit with high level of medical decision making107106$0
99284Emergency department visit with moderate level of medical decision making5452$0
99291Critical care, first 30-74 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 07503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264691070View full group profile
NameSpecialtyState
-NY
P S Y C H I A T R YNY
E N D O C R I N O L O G YFL
-NY
Internal Medicine, GastroenterologyNY
-NY
P S Y C H I A T R YNY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Physician AssistantNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What number should I use to identify CORTLYN JETER (MD) for billing?
Administrative and clinical systems typically use NPI 1336215516 for CORTLYN JETER (MD).
Should I treat CORTLYN JETER (MD) as an active provider?
Patients and plans typically see CORTLYN JETER (MD) as active in the national extract.
What type of care does CORTLYN JETER (MD) provide?
CORTLYN JETER (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CORTLYN JETER (MD)?
The directory associates CORTLYN JETER (MD) with Paterson, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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