Individual provider Active NPI

Michael J. Amendolara, M.D.

  • Family Medicine Physician
  • Whitehouse Station, NJ
National Provider Identifier
1831196971
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05612100 Issued in NJ
Practice address
431 US Highway 22 E Ste 79
Whitehouse Station, NJ 08889-3427
Phone
(908) 534-5559
NPI assigned
Jul 5, 2005
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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 25MA05612100 NJ Primary

Addresses

Primary practice location

431 US Highway 22 E Ste 79
Whitehouse Station, NJ 08889-3427

Mailing address

PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other practice location 1

1985 State Route 34
Osteo Relief Institute
Wall Township, NJ 07719-9100
Phone (732) 974-0044

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
I20110119000874 NJ Practitioner - Family Practice 8628257979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

254 B Mountain Ave
Suite 304
Hackettstown, NJ 07840-2413
Phone (908) 852-6400

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

500 Greenwich St
Belvidere, NJ 07823-1409
Phone (908) 475-9990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of New Jersey Shore, LLC CurrentSince Feb 9, 2020 Accepting new patients
Primary Care Partners, LLC Family Medicine Current Accepting new patients
Primary Care Partners, LLC CurrentSince Mar 27, 2018 Accepting new patients
Primary Care Partners, LLC Family Medicine CurrentSince Mar 27, 2018 Accepting new patients
Primary Care Partners LLC Past Accepting new patients
Waterfront Institute for Spine and Joint Rehabilitation Past Accepting new patients

Locations

254B Mountain Ave
Ste 100
Hackettstown, NJ 07840
Phone (908) 574-9675

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (800) 247-9580

123 State Rt 94
Vernon, NJ 07462
Phone (973) 827-7800

1985 State Route 34
Unit A8D
Wall Township, NJ 07719
Phone (732) 449-0340

431 US Highway 22 E
Ste 79
Whitehouse Station, NJ 08889
Phone (908) 534-5559

Interoperability endpoints

  • Direct secure messaging: mamendolara@osteonj.curemd.direct-ci.com

Organizations & group practices 6

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.

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1831196971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 US HIGHWAY 22 E STE 79",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893427",
            "telephone_number": "908-534-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 State Route 34",
            "address_2": "Osteo Relief Institute",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077199100",
            "country_code": "US",
            "telephone_number": "732-974-0044",
            "fax_number": "732-974-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMENDOLARA",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05612100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse Station, NJ

Sources for this page

Verify at the official NPI Registry.