Individual provider Active NPI

David Konigsberg, DO

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1114178142
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09256100 Issued in NJ
Practice address
2125 Route 88 E
Brick, NJ 08724-3273
Phone
(732) 892-4548
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09256100 NJ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB09256100 NJ

Addresses

Primary practice location

2125 Route 88 E
Brick, NJ 08724-3273

Mailing address

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Other identifiers 1

IdentifierTypeStateIssuer
0409693MedicaidNJ

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
I20140225000359 NJ Practitioner - Family PracticePractitioner - Sports Medicine 5395975072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Rowan University School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

9 Mule Rd
Suite 11
Toms River, NJ 08755-5056
Phone (732) 797-1535

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

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
Somc Medical Group PC CurrentSince May 7, 2014 Accepting new patients
Ocean County Family Care, P.a. CurrentSince Nov 26, 2013 Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222

9 Mule Rd
Ste 11
Toms River, NJ 08755
Phone (732) 797-1535

Interoperability endpoints

  • Direct secure messaging: david.konigsberg@direct.hackensackmeridian.org

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 2

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1114178142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIGSBERG",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09256100",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB09256100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409693",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.