Organization Active NPI

Central Jersey Family Physicians

  • Family Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1811050719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB052061 Issued in NJ
Legal business name
CENTRAL JERSEY FAMILY PHYSICIANS
Practice address
754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909
Phone
(732) 257-1171
Fax
(732) 257-2618
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle A Tomlinson, DO
Title
Pres
Phone
(732) 257-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MB052061 NJ Primary

Addresses

Primary practice location

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

Mailing address

754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909
Phone (732) 257-1171

Other identifiers 1

IdentifierTypeStateIssuer
3450104MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000294 NJ Part B Supplier - Clinic/Group Practice 5597865923 Receives reassigned benefits from 2 practitioners
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

754 Highway 18
Ste 104
East Brunswick, NJ 08816
Phone (732) 257-1171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811050719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "CENTRAL JERSEY FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "732-257-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB052061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3450104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.