Active NPI
Michael Angelo Imbriano, DO
- Nephrology Physician
- Cranford, NJ
National Provider Identifier
1740485267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MB08272700
- Practice address
- 19 Holly St
Cranford, NJ 07016-2158 - Phone
- (908) 272-4711
- NPI assigned
- Jun 15, 2007
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MB08272700 | NJ | Primary |
Addresses
Primary practice location
19 Holly St
Cranford, NJ 07016-2158
Mailing address
1050 George St
Apt: 6G
New Brunswick, NJ 08901-1012
Phone (917) 848-2318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162850 | Medicaid | NJ | |
| P00788983 | Other | NJ | RR MEDICARE |
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
- Nephrology
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Holly St
Cranford, NJ 07016-2158
Hospital & facility affiliations
- Robert Wood Johnson University Hospital - Somerset
- Morristown Medical Center
- Overlook Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.12 of 100
- Quality
- 76.8
- Improvement activities
- 0
- Cost
- 74.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Consultants of NJ, LLC. | Nephrology | Current | Accepting new patients |
| Hera Inpatient Services | Past | Accepting new patients | |
| Executive Health Resources Clinical Staffing Solutions PC | Past | Accepting new patients |
Locations
19 Holly St
Cranford, NJ 07016
Phone (908) 272-7500
19 Holly St
Ste 5
Cranford, NJ 07016
Phone (908) 272-4711
Interoperability endpoints
- mimbriano58123@epicdirect.rwjbh.org
Organizations & group practices 3
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.
-
- Nephrology Physician
- Cranford, NJ
- NPI 1588808000
-
- Internal Medicine Physician
- Somers Point, NJ
- NPI 1760511240
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1740485267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 GEORGE ST",
"address_2": "APT: 6G",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011012",
"telephone_number": "917-848-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HOLLY ST",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162158",
"telephone_number": "908-272-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMBRIANO",
"first_name": "MICHAEL",
"middle_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MB08272700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162850",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00788983",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.