Individual provider Active NPI

Elisabeth Marie Mason, DO

  • Family Medicine Physician
  • Manahawkin, NJ
National Provider Identifier
1548722564
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB11474100 Issued in NJ
Practice address
517 Route 72 W Ste a
Manahawkin, NJ 08050-2821
Phone
(609) 597-3010
Fax
(609) 597-0746
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB11474100 NJ
Family Medicine Physician 207Q00000X 25MB11474100 NJ Primary

Addresses

Primary practice location

517 Route 72 W Ste a
Manahawkin, NJ 08050-2821

Mailing address

517 Route 72 W Ste a
Manahawkin, NJ 08050-2821
Phone (609) 597-3010

Other practice location 1

40 Monmouth Rd
Oakhurst, NJ 07755-1654
Phone (732) 222-3243

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
I20220914000530 NJ Practitioner - Internal Medicine 2062897911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

100 E Main St
Tuckerton, NJ 08087-2618
Phone (609) 296-4014

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
79.77
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Oct 7, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2022 Accepting new patients
Atlanticare Physician Group PA Family Medicine CurrentSince Oct 7, 2024 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Atlanticare Physician Group PastSince Oct 27, 2024 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1548722564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 ROUTE 72 W STE A",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502821",
            "telephone_number": "609-597-3010",
            "fax_number": "609-597-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ROUTE 72 W STE A",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502821",
            "telephone_number": "609-597-3010",
            "fax_number": "609-597-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Monmouth Rd",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077551654",
            "country_code": "US",
            "telephone_number": "732-222-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "ELISABETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB11474100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11474100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.