Individual provider Active NPI

Samuel A Preschel, MD

  • Internal Medicine Physician
  • Lakewood, NJ
National Provider Identifier
1063561413
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA069970 Issued in NJ
Practice address
809 River Avenue
Lakewood, NJ 08701
Phone
(732) 905-9944
Fax
(732) 363-3601
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MA069970 NJ
Internal Medicine Physician 207R00000X MA069970 NJ Primary
Pediatrics Physician 208000000X MA069970 NJ

Addresses

Primary practice location

809 River Avenue
Lakewood, NJ 08701

Mailing address

809 River Avenue
Lakewood, NJ 08701
Phone (732) 905-9944

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
I20041026000834 NJ Practitioner - Internal MedicinePractitioner - Hematology 4688635220 Reassigns benefits to 2 organizations
Practice locations: Lakewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

809 River Ave
Lakewood, NJ 08701-5286
Phone (732) 905-9944

9 Hospital Dr
Suite A22
Toms River, NJ 08755-6425
Phone (973) 429-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069970NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Lakewood Immediate Care Internal Medicine CurrentSince Aug 3, 2022 Accepting new patients
Ortho Step Inc Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

1700 Madison Ave
Lakewood, NJ 08701
Phone (732) 363-7900

809 River Ave
Lakewood, NJ 08701
Phone (732) 905-4049

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Organizations & group practices 4

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 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1063561413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RIVER AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-9944",
            "fax_number": "732-363-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RIVER AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-905-9944",
            "fax_number": "732-363-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCHEL",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "MA069970",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA069970",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA069970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.