NPIMap

Organization Active NPI

Hunterdon Primary Care PC

Doing business as Hunterdon Medical Associates at Long Valley

  • Internal Medicine Physician
  • Long Valley, NJ
National Provider Identifier
1235733080
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HUNTERDON PRIMARY CARE PC
Doing business as
Hunterdon Medical Associates at Long Valley
Practice address
59 E Mill Rd Suite 201
Long Valley, NJ 07853-6210
Phone
(908) 876-9346
NPI assigned
Nov 23, 2020
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Wanda Bermontiz
Title
Billing Manager
Phone
(908) 284-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

59 E Mill Rd Suite 201
Long Valley, NJ 07853-6210

Mailing address

3 Minneakoning Rd
Flemington, NJ 08822-5726
Phone (908) 237-1125

Other names 1

  • Hunterdon Medical Associates at Long Valley Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NexGen

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323002029 NJ Part B Supplier - Clinic/Group Practice 4486951183 Receives reassigned benefits from 99 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitehouse Station, NJ; Washington, NJ; Phillipsburg, NJ; Pennington, NJ; Long Valley, NJ; Hillsborough, NJ; Hampton, NJ; Flemington, NJ…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Locations

59 E Mill Rd
Unit 104
Long Valley, NJ 07853

59 E Mill Rd
Unit 201
Long Valley, NJ 07853
Phone (908) 876-5300

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1235733080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225726",
            "telephone_number": "908-237-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MILL RD SUITE 201",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078536210",
            "telephone_number": "908-876-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "BERMONTIZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-284-1125"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NexGen",
            "affiliation": "N",
            "address_1": "59 E Mill Rd Suite 201",
            "city": "Long Valley",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078536210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hunterdon Medical Associates at Long Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hunterdon Medical Associates at Long Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Valley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.