NPIMap

Individual provider Active NPI

Laurence M. Milgrim, M.D.

  • Otolaryngology Physician
  • Closter, NJ
National Provider Identifier
1255307989
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA08378800 Issued in NJ
Practice address
1 Ruckman Rd
Closter, NJ 07624-2100
Phone
(201) 385-6161
Fax
(201) 385-1671
NPI assigned
Feb 23, 2006
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA08378800 NJ Primary

Addresses

Primary practice location

1 Ruckman Rd
Closter, NJ 07624-2100

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221

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
I20100225000454 NJ Practitioner - Otolaryngology 8325103062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

1016 Main Ave
Clifton, NJ 07011-2327
Phone (973) 546-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as group
Quality
83.97
Promoting interoperability
100
Improvement activities
40
Cost
82.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08378800NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2022 Accepting new patients
NJ Eye and Ear LLC CurrentSince Jul 11, 2023 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2022 Accepting new patients
Atlantic ENT Group LLC CurrentSince Jan 1, 2021 Accepting new patients
Sovereign Medical Group LLC CurrentSince Aug 1, 2015 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Aug 1, 2015 Accepting new patients
NJ Eye and Ear LLC PastSince Jul 11, 2023 Accepting new patients
ENT and Allergy Associates LLP Otolaryngology PastSince Jul 1, 2022 Accepting new patients
Pain Management Physicians PLLC Past Accepting new patients
Clifton Eye Care LLC Past Accepting new patients

Locations

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

370 State Route 35
Red Bank, NJ 07701
Phone (732) 530-7799

Interoperability endpoints

  • Direct secure messaging: drmilgrim@njeyeandear.direct.eyemdemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1255307989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-967-8221",
            "fax_number": "201-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RUCKMAN RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242100",
            "telephone_number": "201-385-6161",
            "fax_number": "201-385-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGRIM",
        "first_name": "LAURENCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA08378800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

Verify at the official NPI Registry.