NPIMap

Individual provider Active NPI

Stuart Michael Homer, MD

  • Nephrology Physician
  • Avenel, NJ
National Provider Identifier
1760488373
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA46118 Issued in NJ
Practice address
1030 Saint Georges Ave
Ste 201
Avenel, NJ 07001-1330
Phone
(732) 602-0244
Fax
(732) 602-2577
NPI assigned
Jun 28, 2005
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA46118 NJ Primary

Addresses

Primary practice location

1030 Saint Georges Ave
Ste 201
Avenel, NJ 07001-1330

Mailing address

1030 Saint Georges Ave
Ste 201
Avenel, NJ 07001-1330
Phone (732) 602-0244

Other identifiers 1

IdentifierTypeStateIssuer
1862006MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000561 NJ Practitioner - NephrologyPractitioner - Internal Medicine 4789751728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart M Homer MD PAGroup PAC ID 3971556408, 3 clinicians

Practice addresses (Care Compare)

1030 Saint Georges Ave
Suite 201
Avenel, NJ 07001-1330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.66 of 100Reported as individual
Quality
91.91
Promoting interoperability
99
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46118NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart M Homer MD PA Nephrology CurrentSince Jul 5, 1989 Accepting new patients

Locations

1030 Saint Georges Ave
Ste 201
Avenel, NJ 07001
Phone (732) 602-0244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABGIAA

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1760488373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "STE 201",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011330",
            "telephone_number": "732-602-0244",
            "fax_number": "732-602-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "STE 201",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011330",
            "telephone_number": "732-602-0244",
            "fax_number": "732-602-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "STUART",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA46118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.