NPIMap

Individual provider Active NPI

Christine R Michael, D.O.

  • Family Medicine Physician
  • Freehold, NJ
National Provider Identifier
1053748053
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09935200 Issued in NJ
Practice address
3499 Route 9 N
Suite 2B
Freehold, NJ 07728-3258
Phone
(732) 625-3166
NPI assigned
Oct 4, 2013
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09935200 NJ Primary

Addresses

Primary practice location

3499 Route 9 N
Suite 2B
Freehold, NJ 07728-3258

Mailing address

27 South Cooks Bridge Road
Suite 2-7
Jackson, NJ 08527-2524
Phone (732) 897-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000634 NJ Practitioner - Family Practice 6800176827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

27 S Cooks Bridge Rd
Suite 2 7
Jackson, NJ 08527-2524
Phone (732) 987-5545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Oct 25, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C Family Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

3499 US Highway 9
Freehold, NJ 07728
Phone (732) 577-1199

3499 US Highway 9
Ste 2B
Freehold, NJ 07728
Phone (732) 431-1126

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

4764 Route 9 S
Howell, NJ 07731
Phone (732) 370-3563

27 S Cooks Bridge Rd
Ste 2-7
Jackson, NJ 08527
Phone (732) 295-6543

Interoperability endpoints

  • Direct secure messaging: christine.michael@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1053748053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SOUTH COOKS BRIDGE ROAD",
            "address_2": "SUITE 2-7",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272524",
            "telephone_number": "732-897-5545",
            "fax_number": "732-987-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9 N",
            "address_2": "SUITE 2B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283258",
            "telephone_number": "732-625-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09935200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.