Individual provider Active NPI

Michael A Meese, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hackensack, NJ
National Provider Identifier
1588773758
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MA05232100 Issued in NJ
Practice address
17 Elm Ave
Hackensack, NJ 07601-4702
Phone
(201) 968-0508
Fax
(201) 968-0509
NPI assigned
Aug 30, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA52321 NJ
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA05232100 NJ Primary

Addresses

Primary practice location

17 Elm Ave
Hackensack, NJ 07601-4702

Mailing address

17 Elm Ave
Hackensack, NJ 07601-4702
Phone (201) 968-0508

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
I20060111000935 NJ Practitioner - Orthopedic Surgery 5294758660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mam Orthopaedics, PAGroup PAC ID 1254523863, 2 clinicians

Practice addresses (Care Compare)

17 Elm Ave
Hackensack, NJ 07601-4702
Phone (201) 968-0508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA52321NJMDSpecialist
25MA05232100NJMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mam Orthopaedics, PA Sports Medicine CurrentSince Oct 18, 2010 Accepting new patients

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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1588773758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELM AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014702",
            "telephone_number": "201-968-0508",
            "fax_number": "201-968-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELM AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014702",
            "telephone_number": "201-968-0508",
            "fax_number": "201-968-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEESE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA52321",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA05232100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.