NPIMap

Individual provider Active NPI

Folarin Tuboku-Metzger, M.D.

  • Internal Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1306881602
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA071211 Issued in NJ
Practice address
34 Main St
Holmdel, NJ 07733-2106
Phone
(732) 320-9196
Fax
(877) 421-3585
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07121100 NJ
Internal Medicine Physician 207R00000X MA071211 NJ Primary

Addresses

Primary practice location

34 Main St
Holmdel, NJ 07733-2106

Mailing address

34 Main St
Holmdel, NJ 07733-2106
Phone (732) 320-9196

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
I20100716000486 NJ Practitioner - Internal Medicine 2264564830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Navesink Medical Associates LLCGroup PAC ID 5193857761, 3 clinicians

Practice addresses (Care Compare)

34 Main St
Holmdel, NJ 07733-2106
Phone (732) 320-9196

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07121100NJMDInternal Medicine Physician
MA071211NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navesink Medical Associates LLC Internal Medicine CurrentSince Jun 15, 2010 Accepting new patients
Bayshore Integrated Physicians Association, P.C. Internal Medicine Past Accepting new patients

Locations

34 Main St
Holmdel, NJ 07733
Phone (732) 320-9196

150 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 320-9196

180 Kings Hwy
Middletown, NJ 07748
Phone (732) 671-0557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAD/Endpoint/GCJJAD

Organizations & group practices 2

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 12

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1306881602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332106",
            "telephone_number": "732-320-9196",
            "fax_number": "877-421-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332106",
            "telephone_number": "732-320-9196",
            "fax_number": "877-421-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBOKU-METZGER",
        "first_name": "FOLARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07121100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA071211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.