DR. JACQUES AMJA (M.D.) – Internal Medicine Physician, NPI 1053842310

DR. JACQUES AMJA (M.D.) is a healthcare provider. based in Pottsville, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD472011 (PA). The NPI Number for DR. JACQUES AMJA (M.D.) is 1053842310

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUES AMJA (M.D.)
NPI
1053842310
Phone
(570) 621-4000
Address
700 E NORWEGIAN ST
Enumeration Date
27 March 2017
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073071767
Graduation Year
2017 (9 years ago)
PAC ID
7517232648
Group Practice PAC ID
0547404337
Professional Enrollment ID
I20200923001084
Address ID
PA185191668DI334XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for DR. JACQUES AMJA (M.D.)

  • Lehigh Valley Hospital–Schuylkill E. Norwegian Street, 700, East Norwegian Street, Bunker Hill, Pottsville, Schuylkill County, Pennsylvania, 17901, United States

    POTTSVILLE, PA 179012710

    Phone: (570) 621-4000

    Fax: (570) 622-5493

    Type: Mailing

  • 330 MAIN ST

    DICKSON CITY, PA 185191691

    Phone: (570) 330-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200923001084IInternal MedicinePATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes160158$0
View full utilization report →

Insurance plans in this area (ZIP 17901)

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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: 0547404337View full group profile
NameSpecialtyState
Internal MedicinePA
Internal MedicinePA
Internal Medicine, Internal Medicine, HospitalistNY
Internal MedicineNY
Internal Medicine, Emergency MedicineNY
Internal MedicineNJ
-AR
Nurse PractitionerCT
Internal MedicineNJ
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify DR. JACQUES AMJA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1053842310 for DR. JACQUES AMJA (M.D.).
Is DR. JACQUES AMJA (M.D.)'s NPI status active today?
Active status means DR. JACQUES AMJA (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. JACQUES AMJA (M.D.) does?
Insurance directories may phrase it differently, but here DR. JACQUES AMJA (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JACQUES AMJA (M.D.)?
DR. JACQUES AMJA (M.D.) shows a connection to Pottsville, Pennsylvania in registry-derived data.
Who maintains DR. JACQUES AMJA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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