Individual provider Active NPI

Frederick Banerman, PA-C

  • Medical Physician Assistant
  • Flemington, NJ
National Provider Identifier
1194703140
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00070600 Issued in NJ
Practice address
1100 Wescott Dr
Suite G3
Flemington, NJ 08822-4600
Phone
(908) 788-1710
Fax
(908) 788-1716
NPI assigned
Jan 9, 2006
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00070600 NJ Primary

Addresses

Primary practice location

1100 Wescott Dr
Suite G3
Flemington, NJ 08822-4600

Mailing address

1100 Wescott Dr
Suite G3
Flemington, NJ 08822-4600
Phone (908) 788-1710

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frederick.banerman.p16@direct.hunterdon.nextgenshare.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000048 NJ Practitioner - Physician Assistant 0345211553 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

331 US Hwy 206
Suite 1a
Hillsborough, NJ 08844-4781
Phone (908) 431-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Medical Center CurrentSince Sep 28, 2015 Accepting new patients
Hunterdon Medical Center CurrentSince Sep 28, 2015 Accepting new patients
Hunterdon Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Hunterdon Cardiovascular Associates Past Accepting new patients
Hamilton Infectious Disease Associates Past Accepting new patients

Locations

1100 Wescott Dr
Ste G3
Flemington, NJ 08822
Phone (908) 788-1710

1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

2100 Wescott Dr
Ste G3
Flemington, NJ 08822
Phone (908) 237-5486

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1194703140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE G3",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-1710",
            "fax_number": "908-788-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR",
            "address_2": "SUITE G3",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-1710",
            "fax_number": "908-788-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERMAN",
        "first_name": "FREDERICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00070600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frederick.banerman.p16@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Wescott Dr",
            "address_2": "Suite G3",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.