Elizabeth Anne Packi, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB11990900 Issued in NJ

Practice address

138 S Main St
Forked River, NJ 08731-3625

Phone

(609) 756-0000

Fax

(609) 488-1613

NPI assigned

Mar 31, 2020

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Rowan University School of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
• Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
• Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

• Hackensack Meridian Health Medical Group - Primary Care PC

  dba HMHMG Primary Care

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Whiting, NJ
  • NPI 1609264597
  Care Compare affiliation
• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian at Home Ocean County

  • Home Health Agency
  • Brick, NJ
  • NPI 1376638064
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Ocean Medical Center

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Southern Ocean Medical Center

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  dba VNA of Central Jersey Home Care and Hospice

  • Home Health Agency
  • Toms River, NJ
  • NPI 1912964818
  Care Compare affiliation

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1689202905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313625",
            "telephone_number": "609-756-0000",
            "fax_number": "609-488-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313625",
            "telephone_number": "609-756-0000",
            "fax_number": "609-488-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11990900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Frances Oliver
• Brandon Patrick Olowiany, D.C
• Optical Connection Incorporated
• Orthodontics @ Forked River
• Orthonj LLC
• Nicole Palanza, DPT
• Agnieszka Palecki, MD
• John William Paluk, DC
• Shivani Pandey
• Manoj Parikh, M.D.

• Family Medicine Physician in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.

Verify at the official NPI Registry.