Active NPI
Mitchell F. Mayer, D.O.
- Family Medicine Physician
- Iselin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB48348
- Practice address
- 400 Gill LN
Iselin, NJ 08830-3001 - Phone
- (732) 404-1580
- Fax
- (732) 404-1594
- NPI assigned
- Jun 13, 2005
- Last updated
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB48348 | NJ | Primary |
Addresses
Primary practice location
400 Gill LN
Iselin, NJ 08830-3001
Mailing address
400 Gill LN
Iselin, NJ 08830-3001
Phone (732) 404-1580
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Gill Lane
Iselin, NJ 08830-3059
400 Gill LN
Iselin, NJ 08830-3059
Phone (732) 404-1580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB48348 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenel Iselin Medical Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580
Interoperability endpoints
- mitchellmayer@aimg.ssdirect.aprima.com
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.
-
- Durable Medical Equipment & Medical Supplies
- Iselin, NJ
- NPI 1487674867
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cranford, NJ
- NPI 1043052517
-
dba Hackensack Meridian JFK At Home
- Home Health Agency
- Iselin, NJ
- NPI 1841943891
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Raritan Bay Medical Center-Old Bridge
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
dba Raritan Bay Medical Center
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1639173008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GILL LN",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088303001",
"telephone_number": "732-404-1580",
"fax_number": "732-404-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GILL LN",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088303001",
"telephone_number": "732-404-1580",
"fax_number": "732-404-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "MITCHELL",
"middle_name": "F.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB48348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.