Joel Gary Fischgrund, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA036275 Issued in NJ

Practice address

61 Beaverbrook Rd
Suite 301
Lincoln Park, NJ 07035-1748

Phone

(973) 696-6687

Fax

(973) 696-2260

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Joel G. Fischgrund M.D.P.a.

  • Family Medicine Physician
  • Lincoln Park, NJ
  • NPI 1821235136
  NPD (past) Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1427097534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CORNELL DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395519",
            "telephone_number": "973-992-4930",
            "fax_number": "973-696-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "address_2": "SUITE 301",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351748",
            "telephone_number": "973-696-6687",
            "fax_number": "973-696-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHGRUND",
        "first_name": "JOEL",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA036275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph J Espasito, DDS
• Jeffrey Michael Falduto, DMD
• Kenneth Fernandez
• Kenneth Fessler, D.C.
• Eddy N Fischgrund, D.C.
• Isabel Fletcher
• Full Circle Counseling, LLC
• Matthew Galitz, COTA/L
• Maria-Lenzka Valencia Generoso, NP-C
• James A. R. Glynn, PSYD

• Family Medicine Physician in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.