Individual provider Active NPI

Gary John Misko Jr., MD

  • Internal Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1033213236
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA62917 Issued in NJ
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

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8637489OtherCIGNA
110245387OtherMEDICARE RAIL ROAD
223623486OtherHORIZON PPO
1734357OtherFIRST HEALTH
31832OtherMASTERCARE
40049OtherMEDICHOICE
P1934612OtherOXFORD
1737406OtherUNITED HEALTHCARE
1K2138OtherHEALTHNET
2185368OtherAETNA
23641OtherAETNA CAP
4H8791OtherWELLCHOICE
0462541000OtherAMERIHEALTH PPO
0744764001OtherAMERIHEALTH HMOPOS
2596853OtherGHI
J7960OtherHORIZON 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000822 NJ Practitioner - Internal Medicine 9739151382 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA62917NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pemcare LLC Internal Medicine CurrentSince May 17, 1997 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

  • FHIR API: https://api.platform.athenahealth.com/20884/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.