Individual provider Active NPI

Erica Josephine Lobuglio, PA-C

  • Surgical Physician Assistant
  • Holmdel, NJ
National Provider Identifier
1467062463
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00573000 Issued in NJ
Practice address
733 N Beers St Ste U3
Holmdel, NJ 07733-1513
Phone
(732) 556-8095
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00573000 NJ Primary

Addresses

Primary practice location

733 N Beers St Ste U3
Holmdel, NJ 07733-1513

Mailing address

68 Furman Ave
Sayreville, NJ 08872-1711
Phone (732) 556-8095

Other practice location 1

68 Furman Ave
Sayreville, NJ 08872-1711
Phone (732) 556-8095

Other identifiers 1

IdentifierTypeStateIssuer
25MP00573000MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sayreville

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123003216 NJ Practitioner - Physician Assistant 7719398700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132

30 Prospect Ave
Hackensack, NJ 07601-1915

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 714-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

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

733 N Beers St
Ste U3
Holmdel, NJ 07733
Phone (732) 264-8484

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • Direct secure messaging: erica.lobuglio@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 2

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1467062463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FURMAN AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721711",
            "telephone_number": "732-556-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST STE U3",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331513",
            "telephone_number": "732-556-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Furman Ave",
            "address_purpose": "LOCATION",
            "city": "Sayreville",
            "state": "NJ",
            "postal_code": "088721711",
            "country_code": "US",
            "telephone_number": "732-556-8095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBUGLIO",
        "first_name": "ERICA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00573000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MP00573000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sayreville",
            "affiliation": "N",
            "address_1": "68 Furman Ave",
            "city": "Sayreville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088721711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.