Individual provider Active NPI

Brian J Fertig, MD

  • Specialist
  • Piscataway, NJ
National Provider Identifier
1528119146
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 58097 Issued in NJ
Practice address
20 Wills Way
Piscataway, NJ 08854-3770
Phone
(732) 562-0027
Fax
(732) 562-0041
NPI assigned
Jan 12, 2007
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 58097 NJ Primary

Addresses

Primary practice location

20 Wills Way
Piscataway, NJ 08854-3770

Mailing address

20 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 562-0027

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
I20090406000041 NJ Practitioner - Endocrinology 2769539998 Practice locations: Piscataway, NJ

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Wills Way
Piscataway, NJ 08854-3770
Phone (732) 562-0027

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 58097NJMDSpecialist

Interoperability endpoints

  • Direct secure messaging: bfertig59096@epicdirect.rwjbh.org

Organizations & group practices 1

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 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1528119146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-562-0027",
            "fax_number": "732-562-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "732-562-0027",
            "fax_number": "732-562-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTIG",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 58097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.