Individual provider Active NPI

Michael L Brescia, MD

  • Pulmonary Disease Physician
  • Roselle Park, NJ
National Provider Identifier
1033215819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA60313 Issued in NJ
Practice address
236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone
(908) 245-8222
Fax
(908) 245-6504
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA60313 NJ Primary

Addresses

Primary practice location

236 E Westfield Ave
Roselle Park, NJ 07204-2084

Mailing address

236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone (908) 245-8222

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
I20040129000719 NJ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3971406711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas C Maglaras MD LLPGroup PAC ID 3678476405, 2 clinicians

Practice addresses (Care Compare)

236 E Westfield Ave
Suite 5
Roselle Park, NJ 07204-2084
Phone (908) 245-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60313NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas C Maglaras MD LLP Pulmonary Disease CurrentSince Dec 1, 1997 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Jan 10, 2018 Accepting new patients

Locations

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

236 E Westfield Ave
Ste 5
Roselle Park, NJ 07204
Phone (908) 245-8222

236 E Westfield Ave
Roselle Park, NJ 07204
Phone (908) 245-8222

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Organizations & group practices 2

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 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033215819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-245-8222",
            "fax_number": "908-245-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-245-8222",
            "fax_number": "908-245-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESCIA",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA60313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

Verify at the official NPI Registry.