Nathan Denicoff, MD
Individual provider Active NPI Emergency Medicine Physician · Holmdel, NJ
NPI 1730709783 · NPPES record last updated Aug 12, 2023
Key facts
- NPI
- 1730709783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 25MA11756400 (NJ)
- Practice address
- 727 N Beers St
Holmdel, NJ 07733-1514 - Phone
- (732) 739-5900
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rwjbh Emergency Medicine Associates, LLC
Emergency Physician Associates of North Jersey P C
Practice addresses (Care Compare)
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900
Hospital & facility affiliations
- Bayshore Medical Center
- Trinitas Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230329000307 | NJ | Practitioner - Emergency Medicine | 7618341918 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11756400 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of North Jersey P C | Single Specialty | Current |
Accepting new patients |
| Small Hospital Innovations LLC | Single Specialty | Current |
Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current |
Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Single Specialty | Current |
Accepting new patients |
| Nes Georgia Inc | Single Specialty | Current |
Accepting new patients |
| Rwjbh Observation Associates LLC | Single Specialty | Current |
Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 25MA11756400 | NJ | Yes |
Addresses
Primary practice location
727 N Beers St
Holmdel, NJ 07733-1514
Mailing address
1500 Teaneck Rd Apt 228
Teaneck, NJ 07666-3655
Other providers in Holmdel, NJ
- Mark Anthony Decotiis
- Kaitlin Delpriora
- Ashley Taylor Delucia
- Jennifer L Dember
- Denise Bruzzi Dempsey
- Nancy A Denicola
- Dental Health Center of Holmdel
- Erika Desantis
- Franki M Desaro
- Sonal Ashish Deshpande
All providers in Holmdel, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.