Individual provider Active NPI

Carrie L Fitzgerald, DO MPH

  • Urology Physician
  • Brick, NJ
National Provider Identifier
1083877658
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4280 Issued in IA
Practice address
446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone
(732) 840-4300
Fax
(732) 840-4515
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101017949 MI
Urology Physician 208800000X 4280 IA Primary
Urology Physician 208800000X 25MB1124700 NJ

Addresses

Primary practice location

446 Jack Martin Blvd
Brick, NJ 08724-7733

Mailing address

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 840-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161003001075 HI Practitioner - Urology 7719135912 Reassigns benefits to 1 organization
I20220215000078 NJ Practitioner - Urology 7719135912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology Associates EnterprisesGroup PAC ID 5698184927, 18 clinicians

Practice addresses (Care Compare)

446 Jack Martin Blvd
Brick, NJ 08724-7733
Phone (732) 840-4300

Hospital & facility affiliations

  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
95.43 of 100Reported as individual
Quality
84.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4280IAMDUrology Physician
5101017949MIMDUrology Physician
25MB1124700NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates, PA Current Accepting new patients
Advanced Urology Associates Enterprises Urology CurrentSince Jan 17, 2022 Accepting new patients
Kauai Medical Clinic CurrentSince Sep 13, 2016 Accepting new patients
Kauai Medical Clinic CurrentSince Sep 13, 2016 Accepting new patients
Advanced Urology Associates Enterprises Urology CurrentSince Jan 17, 2022 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

1946 Young St
Ste 320
Honolulu, HI 96826

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

446 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-5300

2401 State Route 35
Manasquan, NJ 08736
Phone (732) 223-7877

444 Neptune Blvd
Unit 3
Neptune, NJ 07753
Phone (732) 988-3313

595 Shrewsbury Ave
Ste 103
Shrewsbury, NJ 07702
Phone (732) 741-5923

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc33586_urologyassociatespa

Organizations & group practices 6

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 7

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1083877658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-840-4300",
            "fax_number": "732-840-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CARRIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101017949",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "4280",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MB1124700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.