Active NPI
Ira Merkel
- Gastroenterology Physician
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA06190500
- Practice address
- 33 Clyde Rd
Suite 102
Somerset, NJ 08873-5032 - Phone
- (732) 873-9200
- Fax
- (732) 873-1699
- NPI assigned
- Jul 7, 2005
- Last updated
- May 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA06190500 | NJ | Primary |
Addresses
Primary practice location
33 Clyde Rd
Suite 102
Somerset, NJ 08873-5032
Mailing address
33 Clyde Rd
Suite 102
Somerset, NJ 08873-5032
Phone (732) 873-9200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5H3872 | Other | NJ | EMPIRE BC/BS # |
| 2108835 | Other | NJ | AETNA HMO # |
| 1K0769 | Other | NJ | HEALTHNET # |
| 8101809 | Medicaid | NJ | |
| 4337274 | Other | NJ | AETNA PPO # |
| 2499176 | Other | NJ | GHI PPO # |
| 0563362000 | Other | NJ | AMERIHEALTH # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Digestive Health, LLC | Gastroenterology | Current | Accepting new patients |
| Atlantic Coast Gastroenterology Associates | Gastroenterology | Past | Accepting new patients |
Locations
42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111
33 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 873-9200
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
Interoperability endpoints
- ira.merkel.1@24721.direct.athenahealth.com
- ira.merkel.1@6808.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1336146125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CLYDE RD",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735032",
"telephone_number": "732-873-9200",
"fax_number": "732-873-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CLYDE RD",
"address_2": "SUITE 102",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735032",
"telephone_number": "732-873-9200",
"fax_number": "732-873-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKEL",
"first_name": "IRA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA06190500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS #",
"identifier": "5H3872",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "2108835",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET #",
"identifier": "1K0769",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8101809",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO #",
"identifier": "4337274",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "2499176",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH #",
"identifier": "0563362000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.