Individual provider Active NPI

Michael Price, NP-C

  • Family Medicine Physician
  • Wenonah, NJ
National Provider Identifier
1760940290
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00852300 Issued in NJ
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

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617002840 NJ Practitioner - Nurse Practitioner 6002149432 Reassigns benefits to 3 organizations

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
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

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

LicenseStateTypeSpecialty
26NJ00852300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Jan 4, 2020 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Kennedy Medical Group Practice, P.C. Family Medicine PastSince Jun 15, 2021 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.

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

Verify at the official NPI Registry.