Active NPI
Anthony Branco
- Emergency Medicine Physician
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA10654000
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10654000 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
Emergency Medicine, NJ
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
Practice addresses (Care Compare)
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2232
Hospital & facility affiliations
- Overlook Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.86 of 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.