Active NPI
Michael Ombrellino, M.D.
- Vascular Surgery Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA07103600
- Practice address
- 95 Madison Ave
Suite 109
Morristown, NJ 07960-6092 - Phone
- (973) 759-9000
- NPI assigned
- Jan 26, 2006
- Last updated
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA07103600 | NJ | Primary |
Addresses
Primary practice location
95 Madison Ave
Suite 109
Morristown, NJ 07960-6092
Mailing address
433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CCG Medical Group LLC
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
201 Lyons Ave
L4
Newark, NJ 07112-2027
Phone (973) 926-7814
433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000
788 Broad St
Shrewsbury, NJ 07702-4203
Phone (973) 759-9000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 36 |
| Leg revascularization (restoring blood flow) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCG Medical Group LLC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Vein Institute of New Jersey | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Cardiovascular Health Consultants, P.a. | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| CCG Medical Group LLC | Current | Accepting new patients | |
| Cardiovascular Care Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010
95 Madison Ave
Ste 109
Morristown, NJ 07960
Phone (973) 538-8336
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154
788 Broad St
Shrewsbury, NJ 07702
788 Broad St
#1
Shrewsbury, NJ 07702
649 Morris Ave
Springfield, NJ 07081
Phone (973) 795-7955
673 Morris Ave
Ste 201
Springfield, NJ 07081
Phone (212) 241-2087
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
433 Central Ave
Westfield, NJ 07090
433 Central Ave
Fl 2
Westfield, NJ 07090
Phone (973) 302-8700
Interoperability endpoints
- mombrellino@tcvcg.ssdirect.aprima.com
- mombrellino191180@ahs.direct-ci.com
Organizations & group practices 9
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.
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Legal Medicine
- Morristown, NJ
- NPI 1437291739
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Specialist
- Westfield, NJ
- NPI 1831262997
-
- Specialist
- Springfield, NJ
- NPI 1245954254
-
- Ambulatory Surgical Clinic/Center
- Westfield, NJ
- NPI 1720871635
-
dba Vein and Laser Institute of NJ
- Specialist
- Morristown, NJ
- NPI 1376721829
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
dba Atlantic Home Care & Hospice
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1114997426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 CENTRAL AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902520",
"telephone_number": "973-759-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MADISON AVE",
"address_2": "SUITE 109",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606092",
"telephone_number": "973-759-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMBRELLINO",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA07103600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.