Individual provider Active NPI

Joel M Fischer, MD

  • Urology Physician
  • Somerville, NJ
National Provider Identifier
1619997749
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
58017 Issued in NJ
Practice address
72 W End Ave
Somerville, NJ 08876-1824
Phone
(908) 927-0300
Fax
(908) 707-4988
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 58017 NJ Primary

Addresses

Primary practice location

72 W End Ave
Somerville, NJ 08876-1824

Mailing address

72 W End Ave
Somerville, NJ 08876-1824
Phone (908) 927-0300

Other identifiers 1

IdentifierTypeStateIssuer
5240701MedicaidNJ

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
I20101122000240 NJ Practitioner - Urology 9739272105 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58017NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise CurrentSince Aug 10, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

72 W End Ave
Somerville, NJ 08876
Phone (908) 925-3535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1619997749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761824",
            "telephone_number": "908-927-0300",
            "fax_number": "908-707-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761824",
            "telephone_number": "908-927-0300",
            "fax_number": "908-707-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JOEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "58017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5240701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.