NPIMap

Individual provider Active NPI

John David Mikhail, M.D.

  • Pulmonary Disease Physician
  • Ocean, NJ
National Provider Identifier
1205173762
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA09268500 Issued in NJ
Practice address
301 Bingham Avenue, Suite B
Ocean, NJ 07712
Phone
(732) 575-1100
Fax
(732) 575-1107
NPI assigned
Jan 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 25MA09268500 NJ Primary

Addresses

Primary practice location

301 Bingham Avenue, Suite B
Ocean, NJ 07712

Mailing address

301 Bingham Avenue, Suite B
Ocean, NJ 07712
Phone (732) 575-1100

Other identifiers 1

IdentifierTypeStateIssuer
0448591MedicaidNJ

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
I20150406001924 NJ Practitioner - Internal Medicine 7618295577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Pulmonary, PAGroup PAC ID 3173593431, 18 clinicians

Practice addresses (Care Compare)

1608 Route 88
Suite 117
Brick, NJ 08724-3044
Phone (732) 775-9075

2640 Hwy 70
Suite 6a
Manasquan, NJ 08736-2610
Phone (732) 775-9075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holmdel Physician Associates CurrentSince Feb 9, 2015 Accepting new patients
Shore Pulmonary, PA Pulmonary Disease CurrentSince Jul 18, 2016 Accepting new patients
Two River Physician Associates CurrentSince Feb 9, 2015 Accepting new patients

Locations

1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900

301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHEDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1205173762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BINGHAM AVENUE, SUITE B",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-575-1100",
            "fax_number": "732-575-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BINGHAM AVENUE, SUITE B",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-575-1100",
            "fax_number": "732-575-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09268500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448591",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.