Emergency Physician Associates of North Jersey P C
Organization Active NPI Emergency Medicine Physician · Summit, NJ
NPI 1497783419 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1497783419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY PHYSICIAN ASSOCIATES OF NORTH JERSEY P C
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-2000
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen Murtaugh
- Title
- Vice President
- Phone
- (856) 848-3817
Practitioners 593
-
Alvaro Alban, MD
-
Saleem Bacus, MD
-
Richard Barnett, DO
-
Steven James Berner, MD, MPH, MBA
-
Andre Bonnet, D.O.
-
Danielle Marie Braak, MSN, APN, FNP-BC
-
Ryan William Brennessel, D.O.
-
Mark A Burgess, DO
-
Ivan A Darenkov, M.D.
-
Nathan Denicoff, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040825001558 | NJ | Part B Supplier - Clinic/Group Practice | 7911992326 |
Receives reassigned benefits from 556 practitioners Practice locations: East Orange, NJ; Summit, NJ; Redbank, NJ; Pompton Plains, NJ; Old Bridge, NJ; Holmdel, NJ; Perth Amboy, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Pediatric Emergency Medicine (Emergency Medicine) Physician |
207PP0204X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician |
2080P0204X |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
PO Box 635551
Cincinnati, OH 45263-5551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8978204 | Medicaid | NJ | |
| 3262502 | Medicaid | NJ | |
| 4513207 | Medicaid | NJ |
Other providers in Summit, NJ
- Tatiana Echeverry
- Allison Marie Eckert
- James Joseph Eckert
- Christine Victoria Edugene
- Marie Marguerite Elwood
- Emil G. Cappetta DMD PA
- Emily Feldman OT LLC
- Joana S Emmolo
- Michael Enwere
- Ogechi Enwereji
All providers in Summit, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.