Individual provider Active NPI

Robert Neil Pedowitz, D.O.

  • Family Medicine Physician
  • Jackson, NJ
National Provider Identifier
1851346985
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB71374 Issued in NJ
Practice address
161 Bartley Rd
Jackson, NJ 08527-1241
Phone
(732) 363-6140
Fax
(732) 363-6196
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 MB71374 NJ Primary

Addresses

Primary practice location

161 Bartley Rd
Jackson, NJ 08527-1241

Mailing address

225 Willow Brook Rd
Freehold, NJ 07728-5921
Phone (732) 462-9622

Other identifiers 1

IdentifierTypeStateIssuer
9017305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB71374NJMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: robert.pedowitz.p1@direct.fpcs.nextgenshare.com
  • Direct secure messaging: rpedowitz409104@direct.ahsys.org

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1851346985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLOW BROOK RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285921",
            "telephone_number": "732-462-9622",
            "fax_number": "732-780-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BARTLEY RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271241",
            "telephone_number": "732-363-6140",
            "fax_number": "732-363-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDOWITZ",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB71374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9017305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.