Michelle A Tomlinson-Phelan, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB05206100 Issued in NJ

Practice address

754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909

Phone

(732) 257-1171

Fax

(732) 257-2618

NPI assigned

Apr 11, 2006

Last updated

Aug 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Rowan University School of Osteopathic Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Jersey Family PhysiciansGroup PAC ID 5597865923, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.tomlinson-phelan.1@27477.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Jersey Family Physicians

  • Family Medicine Physician
  • East Brunswick, NJ
  • NPI 1811050719
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1801859517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 HIGHWAY 18",
            "address_2": "SUITE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164909",
            "telephone_number": "732-257-1171",
            "fax_number": "732-257-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 STATE ROUTE 18",
            "address_2": "SUITE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164909",
            "telephone_number": "732-257-1171",
            "fax_number": "732-257-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON-PHELAN",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB05206100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.

Verify at the official NPI Registry.