Individual provider Active NPI

Anthony Branco

  • Emergency Medicine Physician
  • Summit, NJ
National Provider Identifier
1770947699
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA10654000 Issued in NJ
Practice address
99 Beauvoir Ave # 3533
Summit, NJ 07901-3533
Phone
(908) 522-2232
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA10654000 NJ Primary

Addresses

Primary practice location

99 Beauvoir Ave # 3533
Summit, NJ 07901-3533

Mailing address

PO Box 265
30 E Somerset St
Raritan, NJ 08869-9998

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911001319 NJ Practitioner - Emergency Medicine 3375830615 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10654000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

99 Beauvoir Ave
#3533
Summit, NJ 07901
Phone (908) 522-2232

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of North Jersey P C 125 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2232

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Merit-based Incentive Payment System (MIPS)

Final score
76.86 of 100Reported as individual
Quality
64.78
Improvement activities
40
Cost
70.76

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1770947699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "address_2": "30 E SOMERSET ST",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088699998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVE # 3533",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013533",
            "telephone_number": "908-522-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCO",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10654000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.