Individual provider Active NPI

Ira Merkel

  • Gastroenterology Physician
  • Somerset, NJ
National Provider Identifier
1336146125
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA06190500 Issued in NJ
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5H3872OtherNJEMPIRE BC/BS #
2108835OtherNJAETNA HMO #
1K0769OtherNJHEALTHNET #
8101809MedicaidNJ
4337274OtherNJAETNA PPO #
2499176OtherNJGHI PPO #
0563362000OtherNJAMERIHEALTH #

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
I20050708000723 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3173559408 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Apr 1, 2022 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

  • Direct secure messaging: ira.merkel.1@24721.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.