NPIMap

Individual provider Active NPI

Justin Nealis

  • Family Medicine Physician
  • Flemington, NJ
National Provider Identifier
1063808103
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10020800 Issued in NJ
Practice address
2100 Wescott Dr
Flemington, NJ 08822-4603
Phone
(908) 788-6100
NPI assigned
Apr 15, 2015
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA10020800 NJ Primary

Addresses

Primary practice location

2100 Wescott Dr
Flemington, NJ 08822-4603

Mailing address

250 Route 28 Ste 100
Bridgewater, NJ 08807-1979
Phone (908) 237-4135

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
I20171106000713 NJ Practitioner - Family Practice 0648536813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians
Hunterdon Medical CenterGroup PAC ID 9830009711, 72 clinicians

Practice addresses (Care Compare)

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 284-1125

2100 Wescott Drive Mso 5TH FL
Flemington, NJ 08822-4603

2100 Westcott Dr
Hunterdon Adult Hospitalist Services
Flemington, NJ 08822-4603
Phone (908) 237-5486

250 Route 28
Suite 100
Bridgewater, NJ 08807-1979
Phone (908) 235-4135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10020800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center Single Specialty CurrentSince Oct 7, 2018 Accepting new patients
Hunterdon Primary Care PC Single Specialty CurrentSince Sep 18, 2017 Accepting new patients
Hunterdon Primary Care PC Single Specialty Current Accepting new patients
Hunterdon Medical Center Single Specialty CurrentSince Oct 7, 2018 Accepting new patients
Hunterdon Primary Care, PC CurrentSince Sep 18, 2017 Accepting new patients
Hunterdon Primary Care, PC Family Medicine Past Accepting new patients
Hunterdon Primary Care, PC Family Medicine Past Accepting new patients

Locations

250 Route 28
Ste 100
Bridgewater, NJ 08807
Phone (908) 235-4135

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

537 US Highway 22 E
Whitehouse Station, NJ 08889
Phone (908) 237-4155

Interoperability endpoints

  • Direct secure messaging: justin.nealis.p62@direct.hunterdon.nextgenshare.com

Organizations & group practices 7

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 6

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1063808103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROUTE 28 STE 100",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071979",
            "telephone_number": "908-237-4135",
            "fax_number": "908-237-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALIS",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10020800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.