Alvin Francis Micabalo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08243000 Issued in NJ

Practice address

72 Route 27
Edison, NJ 08820-3986

Phone

(732) 662-9901

Fax

(732) 662-9904

NPI assigned

Apr 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 PracticeAlso: Osteopathic Manipulative Medicine

Education

Rowan University School of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sood Medical Practice, LLCGroup PAC ID 8729385091, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alvinmicabalo@imci.allscriptsdirect.net

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.

• Sood Medical Practice, LLC

  dba Metro Pain Centers

  • Interventional Pain Medicine Physician
  • Clifton, NJ
  • NPI 1881053676
  Medicare reassignment Care Compare group
• Carteret Comprehensive Medical Care, P.C.

  dba Monroe Comprehensive Medical Care

  • Specialist
  • Monroe, NJ
  • NPI 1497200943
  NPD
• Carteret Comprehensive Medical Care,PC

  dba Edison Comprehensive Medical Care

  • Specialist
  • Edison, NJ
  • NPI 1528140563
  NPD
• Recover Pro Medical & Wellness

  dba Recover Pro

  • Chiropractor
  • Monroe, NJ
  • NPI 1760358519
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1730352576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-662-9901",
            "fax_number": "732-662-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-662-9901",
            "fax_number": "732-662-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICABALO",
        "first_name": "ALVIN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08243000",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NJ",
            "license": "25MB08243000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropark Rehab Center LLC
• Deborah L Metz, M.D.
• John P. Metz, M.D.
• Sejal Ved Mevawala, NP
• Euginia Mgidi, OTD
• Michael S. Lax PSYD LLC
• Banoub Michael, MD
• Meray Sameh Michael, M.D.
• Mid Jersey Medical Associates, PA
• Mid-State Radiation Oncology Associates, P. a.

• Family Medicine Physician in Edison, NJ
• Providers in Edison, 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 Sep 11, 2015; 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.