NPIMap

Individual provider Active NPI

Patricia Cunningham Laemmle, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1891729539
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA064740 Issued in NJ
Practice address
1810 Englishtown Rd
Old Bridge, NJ 08857
Phone
(732) 416-6900
Fax
(732) 416-4823
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA64740 NJ
Internal Medicine Physician 207R00000X 25MA064740 NJ Primary

Addresses

Primary practice location

1810 Englishtown Rd
Old Bridge, NJ 08857

Mailing address

1810 Englishtown Rd
Old Bridge, NJ 08857
Phone (732) 416-6900

Other identifiers 1

IdentifierTypeStateIssuer
7787103MedicaidNJ

Other names 1

  • Patricia Cunningham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000564 NJ Practitioner - Internal Medicine 8729129622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Internal Medicine Healthcare LLCGroup PAC ID 8022159920, 2 clinicians

Practice addresses (Care Compare)

1810 Englishtown Rd
Aim Healthcare
Old Bridge, NJ 08857-3938
Phone (732) 416-6900

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA064740NJMDInternal Medicine Physician
MA64740NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Internal Medicine Healthcare, LLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients

Locations

1810 Englishtown Rd
Old Bridge, NJ 08857
Phone (732) 416-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21155/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.laemmle.1@21155.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1891729539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 ENGLISHTOWN RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-416-6900",
            "fax_number": "732-416-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ENGLISHTOWN RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-416-6900",
            "fax_number": "732-416-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAEMMLE",
        "first_name": "PATRICIA",
        "middle_name": "CUNNINGHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA64740",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA064740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7787103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CUNNINGHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.