NPIMap

State of New Jersey Omb Centralized Payroll

A Medicare group practice based in Morris Plains, NJ: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 6406742592), with 249 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406742592The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
NJ
Enrollments
12
Group size
129 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 11 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20050603000317 NJ Part B Supplier - Clinic/Group Practice 1467552240
O20050420000657 NJ Part B Supplier - Clinic/Group Practice 1982642641
O20040225000797 NJ Part B Supplier - Clinic/Group Practice 1629155502
O20080421000332 NJ Part B Supplier - Clinic/Group Practice 1225077290
O20040420000292 NJ Part B Supplier - Clinic/Group Practice 1336221878
O20040419001441 NJ Part B Supplier - Clinic/Group Practice 1588607725
O20040323000483 NJ Part B Supplier - Clinic/Group Practice 1255375929
O20050104000058 NJ Part B Supplier - Clinic/Group Practice 1811931504
O20100127000659 NJ Part A Provider - Skilled Nursing Facility 1972658508
O20110110000011 NJ Part A Provider - Hospital 1336221878
O20101201000826 NJ Part A Provider - Hospital 1467552240
O20101221001029 NJ Part A Provider - Hospital 1629155502

NPIs in this group 9

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 249

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Clinicians who reassign their Medicare benefits to this group (249) or whom Care Compare lists as members (129).

Sources for this page