Individual provider Active NPI

Warren K Churgin, MD

  • Internal Medicine Physician
  • Eatontown, NJ
National Provider Identifier
1447255583
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04418300 Issued in NJ
Practice address
158 Wyckoff Rd
Eatontown, NJ 07724-1840
Phone
(732) 544-9500
Fax
(732) 544-0132
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04418300 NJ Primary

Addresses

Primary practice location

158 Wyckoff Rd
Eatontown, NJ 07724-1840

Mailing address

158 Wyckoff Rd
Eatontown, NJ 07724-1840
Phone (732) 544-9500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000681 NJ Practitioner - Internal Medicine 7911093463

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

158 Wyckoff Rd
Eatontown, NJ 07724-1890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04418300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Activity First Physical Therapy and Sports Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clinical@eatontownmed.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447255583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WYCKOFF RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241840",
            "telephone_number": "732-544-9500",
            "fax_number": "732-544-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WYCKOFF RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241840",
            "telephone_number": "732-544-9500",
            "fax_number": "732-544-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURGIN",
        "first_name": "WARREN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04418300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.