Middlesex Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIDDLESEX MEDICAL GROUP

Practice address

225 May St
Suite E
Edison, NJ 08837-3266

Phone

(732) 661-2020

Fax

(732) 661-2022

NPI assigned

Oct 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Barry Bullock, MDNPI 1093704355

Title

President

Phone

(732) 661-2020

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Barry Bullock, MD

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1093704355
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538158779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAY ST",
            "address_2": "SUITE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373266",
            "telephone_number": "732-661-2020",
            "fax_number": "732-661-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAY ST",
            "address_2": "SUITE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373266",
            "telephone_number": "732-661-2020",
            "fax_number": "732-661-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-661-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8325804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middlesex County Improvement Authority (Roosevelt Care Center)
• Middlesex County Improvement Authority (Barbara E. Cheung Memorial Hospice)
• Middlesex Emergency Physicians, P.a.
• Middlesex Endodontics P.a.
• Middlesex Infectious Diseases LLC
• Middlesex Pulmonary Associates
• Middlesex Pulmonary Geriatric Associates LLC
• Middlesex Social Daycare LLC
• Middlesex Surgery Center LLC
• Vanessa Christine Milano, MD

• Internal Medicine Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.