NPIMap

Organization Active NPI

Hunterdon Specialty Care PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Clinton, NJ
National Provider Identifier
1891328332
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HUNTERDON SPECIALTY CARE PC
Practice address
1738 Route 31 North
Suite 214
Clinton, NJ 08809
Phone
(908) 735-3912
Fax
(908) 735-3913
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Wanda Bermontiz
Title
Billing Manager
Phone
(908) 284-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1738 Route 31 North
Suite 214
Clinton, NJ 08809

Mailing address

3 Minneakoning Rd
Flemington, NJ 08822-5726
Phone (908) 284-1125

Other names 1

  • Center for Healthy Weight Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160106002688 NJ Part B Supplier - Clinic/Group Practice 4587966601 Receives reassigned benefits from 149 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flemington, NJ; Lambertville, NJ; Clinton, NJ; Pennington, NJ; Phillipsburg, NJ; Washington, NJ; Bridgewater, NJ

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Hunterdon Specialty Care PC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 3

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1891328332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225726",
            "telephone_number": "908-284-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ROUTE 31 NORTH",
            "address_2": "SUITE 214",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08809",
            "telephone_number": "908-735-3912",
            "fax_number": "908-735-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON SPECIALTY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "BERMONTIZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-284-1125"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Healthy Weight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Healthy Weight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.