Active NPI
Michael Price, NP-C
- Family Medicine Physician
- Wenonah, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26NJ00852300
- Practice address
- 111 N Jackson Ave
Wenonah, NJ 08090-1723 - Phone
- (856) 357-0490
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26NJ00852300 | NJ | Primary |
Addresses
Primary practice location
111 N Jackson Ave
Wenonah, NJ 08090-1723
Mailing address
111 N Jackson Ave
Wenonah, NJ 08090-1723
Phone (856) 357-0490
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00852300 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Irish Medical | Family Medicine | Current | Accepting new patients |
| DRX Paramus, LLC | Current | Accepting new patients | |
| The Radiology Group of New Jersey, LLC | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Family Medicine | Past | Accepting new patients |
Locations
601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627
2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010
4200 Bergenline Ave
Union City, NJ 07087
Phone (551) 251-1948
214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Paramus, NJ
- NPI 1316272685
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1760940290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N JACKSON AVE",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080901723",
"telephone_number": "856-357-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N JACKSON AVE",
"city": "WENONAH",
"state": "NJ",
"postal_code": "080901723",
"telephone_number": "856-357-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ00852300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenonah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.