Organization Active NPI

Doctors Medi Center P.a.

  • Internal Medicine Physician
  • Carteret, NJ
National Provider Identifier
1548370331
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA038121 Issued in NJ
Legal business name
DOCTORS MEDI CENTER P.A.
Practice address
835 Roosevelt Ave
Carteret, NJ 07008-1815
Phone
(732) 969-2240
Fax
(732) 969-2152
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mrs. Sharon Bartkovich
Title
Director
Phone
(732) 969-2240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA038121 NJ Primary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X MA039357 NJ
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X MA001728 NJ

Addresses

Primary practice location

835 Roosevelt Ave
Carteret, NJ 07008-1815

Mailing address

835 Roosevelt Ave
Carteret, NJ 07008-1815
Phone (732) 969-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000036 NJ Part B Supplier - Clinic/Group Practice 8426031329 Receives reassigned benefits from 3 practitioners
Practice locations: Carteret, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0942436Doctors Medi Center835 Roosevelt Avenue Suite 4a, Carteret, NJ 07008Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

835 Roosevelt Ave
Ste 4A
Carteret, NJ 07008
Phone (732) 969-2240

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1548370331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "732-969-2240",
            "fax_number": "732-969-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "732-969-2240",
            "fax_number": "732-969-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDI CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BARTKOVICH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-969-2240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA038121",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA039357",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MA001728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.