Michael G Absatz, MD
Individual provider Active NPI Adult Reconstructive Orthopaedic Surgery Physician · Eatontown, NJ
NPI 1518001072 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1518001072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License
- MA51691 (NJ)
- Practice address
- 44 Musket LN
Eatontown, NJ 07724-2448 - Phone
- (732) 870-8968
- NPI assigned
- Feb 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000069 | NJ | Practitioner - Orthopedic Surgery | 2062421738 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05169100 | NJ | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| MA51691 | NJ | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monmouth Medical Association PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MA51691 | NJ | Yes |
Addresses
Primary practice location
44 Musket LN
Eatontown, NJ 07724-2448
Mailing address
44 Musket LN
Eatontown, NJ 07724-2448
Phone (732) 870-8968
Other providers in Eatontown, NJ
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- A2Z Diagnostics LLC
- Michelle R Abano
- Abigail Abecasis
- Eric J Abrams
- Activity First Physical Therapy and Sports Medicine
- Acute Spine & Pain
- Adeyinka Adenuga
- Advanced Chiropractic Healthcare & Wellness, LLC
- Advanced Chiropractic Healthcare & Wellness, LLC
All providers in Eatontown, NJ · Adult Reconstructive Orthopaedic Surgery 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 Jul 8, 2007. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.