Active NPI
Joseph R. Michel, M.D.
- Specialist
- Woodbury, NJ
National Provider Identifier
1477567980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03374600
- Practice address
- Westwood Professional BLDG.
297 Westwood Dr. Suite 104
Woodbury, NJ 08096 - Phone
- (856) 848-1083
- Fax
- (856) 848-2271
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03374600 | NJ | Primary |
Addresses
Primary practice location
Westwood Professional BLDG.
297 Westwood Dr. Suite 104
Woodbury, NJ 08096
Mailing address
Westwood Professional BLDG.
297 Westwood Dr. Suite 104
Woodbury, NJ 08096
Phone (856) 848-1083
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0873705 | Medicaid | NJ | |
| 0097847001 | Other | NJ | BLUE CROSS, AMERIHEALTH |
| 60001921 | Other | NJ | HORIZON NJ HEALTH |
| 222287308 | Other | NJ | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1477567980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WESTWOOD PROFESSIONAL BLDG.",
"address_2": "297 WESTWOOD DR. SUITE 104",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-848-1083",
"fax_number": "856-848-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTWOOD PROFESSIONAL BLDG.",
"address_2": "297 WESTWOOD DR. SUITE 104",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-848-1083",
"fax_number": "856-848-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "JOSEPH",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03374600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0873705",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS, AMERIHEALTH",
"identifier": "0097847001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60001921",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222287308",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.