NPIMap

Individual provider Active NPI

Edward T Mezic, MD

  • Pulmonary Disease Physician
  • Old Bridge, NJ
National Provider Identifier
1437218435
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA05018700 Issued in NJ
Practice address
26 Throckmorton LN
Old Bridge, NJ 08857-2520
Phone
(732) 679-9950
Fax
(732) 679-9956
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA05018700 NJ Primary

Addresses

Primary practice location

26 Throckmorton LN
Old Bridge, NJ 08857-2520

Mailing address

26 Throckmorton LN
Old Bridge, NJ 08857-2520
Phone (732) 679-9950

Other identifiers 1

IdentifierTypeStateIssuer
0917303MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000541 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9335133792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1990 Route 18 N
Old Bridge, NJ 08857-3771
Phone (732) 607-9230

26 Throckmorton LN
Old Bridge, NJ 08857-2578
Phone (732) 679-9950

Hospital & facility affiliations

  • Holisticare Hospice of New Jersey, LLC Hospice, Toms River, NJ, CCN 311578
  • Vitas Healthcare Corporation Atlantic Hospice, Livingston, NJ, CCN 311558
  • Swan Hospice Hospice, Lakewood, NJ, CCN 311592
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Reformed Church Home Nursing home, Old Bridge, NJ, CCN 315417
  • Autumn Lake Healthcare at Old Bridge Nursing home, Old Bridge, NJ, CCN 315381

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Jan 1, 2023 Accepting new patients
Reformed Church Ministries to the Aging, the Particular Synod of the M CurrentSince Jul 21, 1998 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

26 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 257-1600

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

Interoperability endpoints

  • Direct secure messaging: edward.mezic@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1437218435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572520",
            "telephone_number": "732-679-9950",
            "fax_number": "732-679-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572520",
            "telephone_number": "732-679-9950",
            "fax_number": "732-679-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZIC",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05018700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0917303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.