Individual provider Active NPI

Michael Ombrellino, M.D.

  • Vascular Surgery Physician
  • Morristown, NJ
National Provider Identifier
1114997426
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA07103600 Issued in NJ
Practice address
95 Madison Ave
Suite 109
Morristown, NJ 07960-6092
Phone
(973) 759-9000
NPI assigned
Jan 26, 2006
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000347 NJ Practitioner - Vascular Surgery 6800811357 Reassigns benefits to 7 organizations

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
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
CCG Medical Group LLCGroup PAC ID 0648640680, shared by 2 NPIs, 24 clinicians

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

ProcedureNumber of procedures
Varicose vein removal36
Leg revascularization (restoring blood flow)11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 1, 2024 Accepting new patients
Vein Institute of New Jersey CurrentSince Jul 1, 2008 Accepting new patients
Practice Associates Medical Group CurrentSince Jun 1, 2015 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince May 1, 2000 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Oct 15, 2024 Accepting new patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Cardiovascular Care Group PC CurrentSince Apr 22, 2013 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 1, 2024 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

  • Direct secure messaging: mombrellino@tcvcg.ssdirect.aprima.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.