Individual provider Active NPI

Mitchell J Mutterperl, M.D.

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1215972682
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04301900 Issued in NJ
Practice address
19 W 33Rd St
Bayonne, NJ 07002-3916
Phone
(201) 585-0090
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 25MA04301900 NJ Primary

Addresses

Primary practice location

19 W 33Rd St
Bayonne, NJ 07002-3916

Mailing address

19 W 33Rd St
Bayonne, NJ 07002-3916
Phone (201) 858-0090

Other identifiers 1

IdentifierTypeStateIssuer
1181106MedicaidNJ

Other names 1

  • Mitchell J Mutterperl Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000136 NJ Practitioner - Internal Medicine 7719900299 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Jun 22, 2022 Accepting new patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 22, 2022 Accepting new patients
Mitchell J. Mutterperl Mdpa Internal Medicine Past Accepting new patients
Mitchell J. Mutterperl Mdpa Past Accepting new patients

Locations

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

Interoperability endpoints

  • Direct secure messaging: mitchell.mutterperl@direct.carepointhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1215972682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 33RD ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023916",
            "telephone_number": "201-858-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 33RD ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023916",
            "telephone_number": "201-585-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTERPERL",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04301900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1181106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "MUTTERPERL",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.