Active NPI
Gary John Misko Jr., MD
- Internal Medicine Physician
- Metuchen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA62917
- Practice address
- 267 Central Ave
Metuchen, NJ 08840-1269 - Phone
- (732) 287-6004
- Fax
- (732) 287-3575
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA62917 | NJ | Primary |
Addresses
Primary practice location
267 Central Ave
Metuchen, NJ 08840-1269
Mailing address
267 Central Ave
Metuchen, NJ 08840-1269
Phone (732) 287-6004
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8637489 | Other | CIGNA | |
| 110245387 | Other | MEDICARE RAIL ROAD | |
| 223623486 | Other | HORIZON PPO | |
| 1734357 | Other | FIRST HEALTH | |
| 31832 | Other | MASTERCARE | |
| 40049 | Other | MEDICHOICE | |
| P1934612 | Other | OXFORD | |
| 1737406 | Other | UNITED HEALTHCARE | |
| 1K2138 | Other | HEALTHNET | |
| 2185368 | Other | AETNA | |
| 23641 | Other | AETNA CAP | |
| 4H8791 | Other | WELLCHOICE | |
| 0462541000 | Other | AMERIHEALTH PPO | |
| 0744764001 | Other | AMERIHEALTH HMOPOS | |
| 2596853 | Other | GHI | |
| J7960 | Other | HORIZON HMOPOS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
267 Central Ave
Metuchen, NJ 08840-1269
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62917 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pemcare LLC | Internal Medicine | Current | Accepting new patients |
Locations
259 Talmadge Rd
Edison, NJ 08817
Phone (732) 287-6004
267 Central Ave
Ste C
Metuchen, NJ 08840
Phone (732) 287-6004
Interoperability endpoints
- https://api.platform.athenahealth.com/20884/brand/1/csg/1/fhir/r4
- gary.misko.1@20884.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Metuchen, NJ
- NPI 1659423549
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1033213236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 CENTRAL AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401269",
"telephone_number": "732-287-6004",
"fax_number": "732-287-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 CENTRAL AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401269",
"telephone_number": "732-287-6004",
"fax_number": "732-287-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISKO",
"first_name": "GARY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA62917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8637489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "110245387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON PPO",
"identifier": "223623486",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1734357",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTERCARE",
"identifier": "31832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICHOICE",
"identifier": "40049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1934612",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1737406",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K2138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2185368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAP",
"identifier": "23641",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE",
"identifier": "4H8791",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "0462541000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMOPOS",
"identifier": "0744764001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2596853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HMOPOS",
"identifier": "J7960",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.