NPIMap

Individual provider Active NPI

Andrew L. Nelson, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Toms River, NJ
National Provider Identifier
1497751242
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
25MA06570700 Issued in NJ
Practice address
1594 Route 9
Unit 6
Toms River, NJ 08755
Phone
(732) 349-8888
Fax
(732) 349-8880
NPI assigned
Jun 27, 2005
Last updated
Feb 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 25MA06570700 NJ Primary

Addresses

Primary practice location

1594 Route 9
Unit 6
Toms River, NJ 08755

Mailing address

1594 Route 9
Unit 6
Toms River, NJ 08755
Phone (732) 349-8888

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
I20040603000124 NJ Practitioner - Sports MedicinePractitioner - Internal Medicine 3971585019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06570700NJMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Sep 1, 2017 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP Sports Medicine CurrentSince Sep 1, 2017 Accepting new patients
Family and Urgent Care Center, Inc. Sports Medicine Past Accepting new patients
Robert Wood Johnson Physician Enterprise Past Accepting new patients
Visiting Doctors of New Jersey, LLC Past Accepting new patients

Locations

500 Barnegat Blvd N
Ste 200
Barnegat, NJ 08005
Phone (609) 488-3988

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

222 Schanck Rd
Ste 300
Freehold, NJ 07728
Phone (732) 462-1700

294 Applegarth Rd
Ste C
Monroe, NJ 08831
Phone (609) 495-1888

1200 Eagle Ave
Ocean, NJ 07712

Interoperability endpoints

  • Direct secure messaging: andrew.nelson@svo.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1497751242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 9",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-349-8888",
            "fax_number": "732-349-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 9",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-349-8888",
            "fax_number": "732-349-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA06570700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.