Individual provider Active NPI

Raymond Stanley Briski, M.D.

  • Occupational Medicine Physician
  • Watchung, NJ
National Provider Identifier
1376744755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Practice address
241 Valley Dr
Watchung, NJ 07069-6445
Phone
(908) 756-7969
NPI assigned
May 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X NJ Primary

Addresses

Primary practice location

241 Valley Dr
Watchung, NJ 07069-6445

Mailing address

241 Valley Dr
Watchung, NJ 07069-6445
Phone (908) 756-7969

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
I20120627000460 NJ Practitioner - Family PracticePractitioner - Emergency Medicine 9931364866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Rehabilitation and Fitness, Inc.Group PAC ID 5799741690, 16 clinicians

Practice addresses (Care Compare)

15 -17 Microlab Rd
Suite 101
Livingston, NJ 07039-0391
Phone (973) 992-8181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO4281300NJMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care PA CurrentSince Apr 18, 2012 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Apr 1, 2019 Accepting new patients
Family Care,P.a. PastSince Apr 18, 2012 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.raymondbriski@136290.advancedmd-direct.com

Organizations & group practices 5

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376744755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 VALLEY DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696445",
            "telephone_number": "908-756-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 VALLEY DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696445",
            "telephone_number": "908-756-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISKI",
        "first_name": "RAYMOND",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.