Organization Active NPI

Navesink Medical Associates LLC

  • Internal Medicine Physician
  • Middletown, NJ
National Provider Identifier
1003051038
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NAVESINK MEDICAL ASSOCIATES LLC
Practice address
180 Kings Hwy
Middletown, NJ 07748-2022
Phone
(732) 671-0557
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Folarin D Tuboku-MetzgerNPI 1306881602
Title
Physician
Phone
(917) 509-5012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

180 Kings Hwy
Middletown, NJ 07748-2022

Mailing address

PO Box 4172
Middletown, NJ 07748-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000455 NJ Part B Supplier - Clinic/Group Practice 5193857761 Receives reassigned benefits from 7 practitioners
Practice locations: Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

34 Main St
Holmdel, NJ 07733
Phone (732) 320-9196

150 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 320-9196

180 Kings Hwy
Middletown, NJ 07748
Phone (732) 671-0557

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1003051038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4172",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 KINGS HWY",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482022",
            "telephone_number": "732-671-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVESINK MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "TUBOKU-METZGER",
        "authorized_official_first_name": "FOLARIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-509-5012",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.