Stuart M Homer MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

STUART M HOMER MD PA

Practice address

1030 Saint Georges Ave
Suite 201
Avenel, NJ 07001-1390

Phone

(732) 602-0244

Fax

(732) 602-2577

NPI assigned

Dec 5, 2006

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart M Homer, MDNPI 1760488373

Title

President

Phone

(732) 602-0244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABGIAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Michael Homer, MD

  • Nephrology Physician
  • Avenel, NJ
  • NPI 1760488373
  Medicare reassignment Care Compare group NPD Authorized official
• Daniyel Barton, FNP

  • Nurse Practitioner
  • Monmouth Junction, NJ
  • NPI 1508524240
  Medicare reassignment Care Compare group NPD
• Geraldine Dolan, APN

  • Adult Health Nurse Practitioner
  • Avenel, NJ
  • NPI 1942643424
  Medicare reassignment Care Compare group NPD
• Lev S. Simkhayev, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1578563243
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1124186010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "SUITE 201",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-602-0244",
            "fax_number": "732-602-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "SUITE 201",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-602-0244",
            "fax_number": "732-602-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART M HOMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "HOMER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-602-0244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Soyka, DMD
• Speaking Out Speech and Language Services LLC
• State of New Jersey Omb Centralized Payroll (Woodbridge Developmental Center)
• Christopher M Stewart, D.D.S
• Florence Stewart, LPN
• Regina Sudziute, D.D.S
• Lucas S Suydam, DPT
• Alexander M Swan, MD
• Samina Altaf Syed-Naqvi, M.D.
• Jazmine Tatis, LSW

• Nephrology Physician in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.