Active NPI
Mitchell Ferges
- Specialist
- Somerset, NJ
National Provider Identifier
1407853310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03204300
- 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
- Jul 26, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03204300 | 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 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TS058 | Other | NJ | OXFORD # |
| 2243283 | Other | NJ | AETNA HMO # |
| 4V5041 | Other | NJ | EMPIRE BC/BS E. BRUNS. # |
| 40A653 | Other | NJ | EMPIRE BC/BS SOMERSET # |
| 2499585 | Other | NJ | GHI PPO # |
| 0K3007 | Other | NJ | HEALTHNET # |
| 4093715 | Other | NJ | AETNA PPO # |
| 110083490 | Other | NJ | RAILROAD MDCR # |
| 15235 | Other | NJ | AMERICAID # |
| 0099027000 | Other | NJ | AMERIHEALTH # |
| 1175203 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03204300 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWJ Endosurgical Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- East Brunswick, NJ
- NPI 1205875283
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": "1311638400000",
"number": "1407853310",
"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": "FERGES",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03204300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD #",
"identifier": "TS058",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO #",
"identifier": "2243283",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS E. BRUNS. #",
"identifier": "4V5041",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS SOMERSET #",
"identifier": "40A653",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO #",
"identifier": "2499585",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET #",
"identifier": "0K3007",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO #",
"identifier": "4093715",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MDCR #",
"identifier": "110083490",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID #",
"identifier": "15235",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH #",
"identifier": "0099027000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1175203",
"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 Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.