Individual provider Active NPI

Allen R Ongsiako, D.O.

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1790771293
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05884600 Issued in NJ
Practice address
1228 Route 37 W
Suite 6
Toms River, NJ 08755-4811
Phone
(732) 505-9333
Fax
(732) 505-9980
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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 25MB05884600 NJ Primary

Addresses

Primary practice location

1228 Route 37 W
Suite 6
Toms River, NJ 08755-4811

Mailing address

1228 Route 37 W
Suite 6
Toms River, NJ 08755-4811
Phone (732) 505-9333

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
I20101220001116 NJ Practitioner - Family Practice 3274721139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1228 Route 37 W 6
Toms River, NJ 08755-4811
Phone (732) 505-9333

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score
22.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB05884600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Family Medicine LLC Family Medicine CurrentSince May 19, 2003 Accepting new patients

Locations

167 Route 37 W
#B
Toms River, NJ 08755
Phone (732) 505-9333

1228 Route 37 W
Ste 6
Toms River, NJ 08755
Phone (732) 244-2700

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 5

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1790771293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 ROUTE 37 W",
            "address_2": "SUITE 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554811",
            "telephone_number": "732-505-9333",
            "fax_number": "732-505-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 ROUTE 37 W",
            "address_2": "SUITE 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554811",
            "telephone_number": "732-505-9333",
            "fax_number": "732-505-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGSIAKO",
        "first_name": "ALLEN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05884600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.