Individual provider Active NPI

Michael Murphy, PA-C

  • Physician Assistant
  • Clinton, NJ
National Provider Identifier
1396091906
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00288300 Issued in NJ
Practice address
59 Old Highway 22
Clinton, NJ 08809-1342
Phone
(908) 730-6363
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00288300 NJ Primary

Addresses

Primary practice location

59 Old Highway 22
Clinton, NJ 08809-1342

Mailing address

59 Old Highway 22
Clinton, NJ 08809-1342
Phone (908) 730-6363

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429001494 NJ Practitioner - Physician Assistant 8628201589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, 45 clinicians

Practice addresses (Care Compare)

4 Atno Ave
Morristown, NJ 07960-3802
Phone (973) 267-0002

71 4TH St
Somerville, NJ 08876-3235
Phone (908) 526-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00288300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Locations

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1396091906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091342",
            "telephone_number": "908-730-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091342",
            "telephone_number": "908-730-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00288300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.