NPIMap

Individual provider Active NPI

Michael Louis Carlucci, MD

  • Internal Medicine Physician
  • Jamesburg, NJ
National Provider Identifier
1194925750
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08763000 Issued in NJ
Practice address
333 Forsgate Dr
Suite 201
Jamesburg, NJ 08831-1567
Phone
(732) 521-3131
Fax
(732) 521-1116
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08763000 NJ Primary

Addresses

Primary practice location

333 Forsgate Dr
Suite 201
Jamesburg, NJ 08831-1567

Mailing address

333 Forsgate Dr
Suite 201
Jamesburg, NJ 08831-1567
Phone (732) 521-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000829 NJ Practitioner - Internal Medicine 9436347978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

240 Easton Ave
TRD FL Attn Man Care
New Brunswick, NJ 08901-1723
Phone (732) 565-5453

294 Applegarth Rd
Suite a
Monroe, NJ 08831-3809
Phone (609) 409-1363

561 Cranbury Rd
Suite J
East Brunswick, NJ 08816-5400
Phone (732) 339-7896

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Jan 1, 2014 Accepting new patients
Saint Peter'S University Hospital Current Accepting new patients
Saint Peter'S University Hospital CurrentSince Jul 1, 2020 Accepting new patients

Locations

561 Cranbury Rd
Ste J
East Brunswick, NJ 08816
Phone (732) 339-7896

561 Cranbury Rd
Ste G
East Brunswick, NJ 08816

333 Forsgate Dr
Ste 201
Jamesburg, NJ 08831
Phone (732) 521-3131

294 Applegarth Rd
Ste A
Monroe, NJ 08831
Phone (609) 409-1363

2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

240 Easton Ave
Fl 4
New Brunswick, NJ 08901
Phone 7327458600 ext. 8345

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

75 Veronica Ave
Ste 204
Somerset, NJ 08873
Phone (732) 828-0002

Interoperability endpoints

  • Direct secure messaging: michael.carlucci.1@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 11

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1194925750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FORSGATE DR",
            "address_2": "SUITE 201",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311567",
            "telephone_number": "732-521-3131",
            "fax_number": "732-521-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FORSGATE DR",
            "address_2": "SUITE 201",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311567",
            "telephone_number": "732-521-3131",
            "fax_number": "732-521-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08763000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.