Individual provider Active NPI

Jerry A Horowitz, D.O.

  • Family Medicine Physician
  • Beesleys Point, NJ
National Provider Identifier
1225065311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB53761 Issued in NJ
Practice address
618 N Shore Rd
Beesleys Point, NJ 08223-1737
Phone
(609) 390-0693
Fax
(609) 390-1147
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB53761 NJ Primary

Addresses

Primary practice location

618 N Shore Rd
Beesleys Point, NJ 08223-1737

Mailing address

618 N Shore Rd
Beesleys Point, NJ 08223-1737
Phone (609) 390-0693

Other identifiers 1

IdentifierTypeStateIssuer
4597508MedicaidNJ

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
I20100707000423 NJ Practitioner - Family Practice 7315078318 Reassigns benefits to 1 organization
Practice locations: Marmora, NJ; Ocean View, NJ; Ocean City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

618 N Shore Rd
Marmora, NJ 08223-1737
Phone (609) 390-0693

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB53761NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beesleys Point Family Practice LLC Family Medicine CurrentSince Jan 29, 2016 Accepting new patients

Locations

618 N Shore Rd
Marmora, NJ 08223
Phone (609) 390-0693

2721 US Route 9
Ocean View, NJ 08230
Phone (609) 624-1715

Organizations & group practices 1

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 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225065311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N SHORE RD",
            "city": "BEESLEYS POINT",
            "state": "NJ",
            "postal_code": "082231737",
            "telephone_number": "609-390-0693",
            "fax_number": "609-390-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N SHORE RD",
            "city": "BEESLEYS POINT",
            "state": "NJ",
            "postal_code": "082231737",
            "telephone_number": "609-390-0693",
            "fax_number": "609-390-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB53761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4597508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beesleys Point, NJ

Sources for this page

Verify at the official NPI Registry.