Organization Active NPI

Cedarbridge Medical Associates, P.a.

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1124241567
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CEDARBRIDGE MEDICAL ASSOCIATES, P.A.
Practice address
985 Cedarbridge Ave
Brick, NJ 08723-4111
Phone
(732) 477-5600
Fax
(732) 477-1899
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Dr. Richard Reisher, D.O.NPI 1073575791
Title
President
Phone
(732) 477-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NJ Primary

Addresses

Primary practice location

985 Cedarbridge Ave
Brick, NJ 08723-4111

Mailing address

985 Cedarbridge Ave
Brick, NJ 08723-4111
Phone (732) 477-5600

Other identifiers 1

IdentifierTypeStateIssuer
8183902MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1124241567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234111",
            "telephone_number": "732-477-5600",
            "fax_number": "732-477-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 CEDARBRIDGE AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234111",
            "telephone_number": "732-477-5600",
            "fax_number": "732-477-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARBRIDGE MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "REISHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-477-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8183902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.