Individual provider Active NPI

Linda Compagnone, MD

  • Internal Medicine Physician
  • Somerset, NJ
National Provider Identifier
1720059371
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04932600 Issued in NJ
Practice address
29 Clyde Rd Ste 101
Somerset, NJ 08873-5040
Phone
(732) 873-0330
Fax
(732) 873-2077
NPI assigned
Jan 31, 2006
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04932600 NJ Primary

Addresses

Primary practice location

29 Clyde Rd Ste 101
Somerset, NJ 08873-5040

Mailing address

29 Clyde Rd Ste 101
Somerset, NJ 08873-5040
Phone (732) 873-0330

Other practice location 1

263 Main St
Box 128
Whitehouse Station, NJ 08889-3620
Phone (908) 534-2249

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
I20050623000856 NJ Practitioner - Internal Medicine 0042255630 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04932600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Internal Medicine CurrentSince Oct 20, 2017 Accepting new patients
Ritu Suri MD, LLC CurrentSince Apr 29, 2019 Accepting new patients

Locations

245 Engle St
Englewood, NJ 07631
Phone (201) 568-0770

29 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 873-0330

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1720059371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CLYDE RD STE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735040",
            "telephone_number": "732-873-0330",
            "fax_number": "732-873-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CLYDE RD STE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735040",
            "telephone_number": "732-873-0330",
            "fax_number": "732-873-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Main St",
            "address_2": "Box 128",
            "address_purpose": "LOCATION",
            "city": "Whitehouse Station",
            "state": "NJ",
            "postal_code": "088893620",
            "country_code": "US",
            "telephone_number": "908-534-2249",
            "fax_number": "908-534-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPAGNONE",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04932600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.