Individual provider Active NPI

Joseph J Brignola, MD

  • Internal Medicine Physician
  • Nutley, NJ
National Provider Identifier
1508824897
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07700400 Issued in NJ
Practice address
181 Franklin Ave
#204
Nutley, NJ 07110-3820
Phone
(973) 667-8117
Fax
(973) 667-6642
NPI assigned
May 3, 2006
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07700400 NJ Primary

Addresses

Primary practice location

181 Franklin Ave
#204
Nutley, NJ 07110-3820

Mailing address

181 Franklin Ave
Ste 204
Nutley, NJ 07110-2900
Phone (973) 667-8117

Other identifiers 1

IdentifierTypeStateIssuer
0032280MedicaidNJ

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
I20040520000150 NJ Practitioner - Internal Medicine 8820089741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internet Medical Group P CGroup PAC ID 2466357058, 3 clinicians

Practice addresses (Care Compare)

181 Franklin Ave
Suite 204
Nutley, NJ 07110-2900
Phone (973) 667-8117

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07700400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internet Medical Group PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Complete Care at West Caldwell LLC Past Accepting new patients

Locations

181 Franklin Ave
Nutley, NJ 07110
Phone (973) 667-0995

181 Franklin Ave
Ste 204
Nutley, NJ 07110
Phone (973) 667-0995

Interoperability endpoints

  • Direct secure messaging: jbrignola254398@epicdirect.rwjbh.org

Organizations & group practices 2

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 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1508824897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "STE 204",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102900",
            "telephone_number": "973-667-8117",
            "fax_number": "973-667-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "#204",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-8117",
            "fax_number": "973-667-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGNOLA",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07700400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032280",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.