Individual provider Active NPI

Michael Joseph Viksjo, MD

  • Gastroenterology Physician
  • Union, NJ
National Provider Identifier
1508028770
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA08505500 Issued in NJ
Practice address
1308 Morris Ave Ste 102
Union, NJ 07083-3328
Phone
(908) 851-2770
Fax
(908) 851-9023
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA08505500 NJ Primary

Addresses

Primary practice location

1308 Morris Ave Ste 102
Union, NJ 07083-3328

Mailing address

1308 Morris Ave Ste 102
Union, NJ 07083-3328
Phone (908) 851-2770

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
I20090730000171 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 5193878742 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
RF Ledon MD PCGroup PAC ID 6305909284, 18 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

1308 Morris Ave
Union, NJ 07083-3328
Phone (908) 851-2770

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Merit-based Incentive Payment System (MIPS)

Final score
74.47 of 100Reported as group
Quality
63.5
Improvement activities
40
Cost
63.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08505500NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC Gastroenterology CurrentSince Jul 15, 2015 Accepting new patients
RF Ledon M.D. P.C. Gastroenterology CurrentSince Mar 2, 2015 Accepting new patients
Medical Care Institute Past Accepting new patients
Barnabas Health Medical Group, PC PastSince Aug 12, 2024 Accepting new patients

Locations

240 Williamson St
Ste 401
Elizabeth, NJ 07202
Phone (908) 282-0500

200 Sheffield St
Ste 101
Mountainside, NJ 07092
Phone (908) 241-8900

1308 Morris Ave
Union, NJ 07083
Phone (908) 688-5577

1308 Morris Ave
Ste 102
Union, NJ 07083
Phone (908) 851-2770

Interoperability endpoints

  • Direct secure messaging: michael.viksjo.1@3830.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1508028770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MORRIS AVE STE 102",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833328",
            "telephone_number": "908-851-2770",
            "fax_number": "908-851-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MORRIS AVE STE 102",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833328",
            "telephone_number": "908-851-2770",
            "fax_number": "908-851-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKSJO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08505500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.