Mid Atlantic Diabetes and Endocrinology Associates, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MA72694 Issued in NJ

Legal business name

MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES, LLC

Practice address

555 Iron Bridge Rd Ste 18
Freehold, NJ 07728-2975

Phone

(732) 409-6233

NPI assigned

Apr 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Young, MDNPI 1831174739

Title

Owner

Phone

(732) 685-2747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Garduno Young, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Freehold, NJ
  • NPI 1831174739
  Medicare reassignment NPD Authorized official
• Saima Obaid Farghani, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Manahawkin, NJ
  • NPI 1982922183
  Medicare reassignment NPD

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1437392198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD STE 18",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-409-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 IRON BRIDGE RD STE 18",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282975",
            "telephone_number": "732-409-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-685-2747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA72694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Metzger, LCSW
• Peter M Mezzacappa, M.D.
• MH at Freehold LLC
• Christine R Michael, D.O.
• Scott Michels, DDS
• Mid State Gastroenterology LLC
• Mid-Atlantic Periodontics, PC
• Middlesex Monmouth Gastroenterology
• Middlesex Monmouth Gastroenterology
• Midpoint Health Care Services, Inc.

• Endocrinology, Diabetes & Metabolism Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.