Individual provider Active NPI

Martin P Michalewski, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Asbury Park, NJ
National Provider Identifier
1164410643
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
25MA08681200 Issued in NJ
Practice address
601 Sunset Ave
Asbury Park, NJ 07712
Phone
(732) 775-7978
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME91461 FL
Gynecology Physician 207VG0400X ME91461 FL
Gynecology Physician 207VG0400X 25MA08681200 NJ
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 25MA08681200 NJ Primary

Addresses

Primary practice location

601 Sunset Ave
Asbury Park, NJ 07712

Mailing address

1814 Greenwood Ter
Belmar, NJ 07719-2912
Phone (732) 775-7978

Other practice location 1

1 Route 70 West
Lakewood, NJ 08701-5895
Phone (732) 901-0211

Other identifiers 2

IdentifierTypeStateIssuer
271287300MedicaidFL
0225347MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000613 FL Practitioner - UrologyPractitioner - Obstetrics/Gynecology 1254398233 Reassigns benefits to 1 organization
I20100511000675 NJ Practitioner - Obstetrics/Gynecology 1254398233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Womens Health Associates IncGroup PAC ID 4587652037, 2 clinicians

Practice addresses (Care Compare)

2345 W Hillsboro Blvd
Suite 105
Deerfield Beach, FL 33442-1110
Phone (954) 427-4966

2345 W Hillsboro Blvd
Suite 105
Deerfield Beach, FL 33442-1111

601 Sunset Ave
Asbury Park, NJ 07712-5313
Phone (732) 775-7978

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08681200NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Womens Health Associates Inc Obstetrics & Gynecology CurrentSince Oct 25, 2004 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Apr 1, 2010 Accepting new patients
Advanced Urogynecology Associates Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Martin P Michalewski Advanced Urogynecology Associates Gynecology CurrentSince Mar 13, 2019 Accepting new patients

Locations

2345 W Hillsboro Blvd
Ste 201
Deerfield Beach, FL 33442
Phone (954) 427-4966

2345 W Hillsboro Blvd
Ste 105
Deerfield Beach, FL 33442
Phone (954) 427-4966

601 Sunset Ave
Asbury Park, NJ 07712
Phone (732) 455-8090

1 State Route 70
Lakewood, NJ 08701
Phone (732) 905-5600

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: mmichalewski425315@direct.ahsys.org

Organizations & group practices 4

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 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1164410643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 GREENWOOD TER",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192912",
            "telephone_number": "732-775-7978",
            "fax_number": "732-988-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUNSET AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-775-7978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Route 70 West",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015895",
            "country_code": "US",
            "telephone_number": "732-901-0211",
            "fax_number": "732-901-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALEWSKI",
        "first_name": "MARTIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME91461",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME91461",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA08681200",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": "25MA08681200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271287300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225347",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.