Active NPI
John R Middleton, MD
- Infectious Disease Physician
- Old Bridge, NJ
National Provider Identifier
1891852489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA28183
- Practice address
- 3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093 - Phone
- (732) 360-2700
- Fax
- (732) 360-2703
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MA28183 | NJ | Primary |
Addresses
Primary practice location
3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093
Mailing address
3 Hospital PLZ
Suite 208
Old Bridge, NJ 08857-3093
Phone (732) 360-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1777203 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA28183 | NJ | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Care LLC | Infectious Disease | Current | Accepting new patients |
| Rbidc | Infectious Disease | Past | Accepting new patients |
Locations
105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331
105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221
3 Hospital Plz
#S208
Old Bridge, NJ 08857
3 Hospital Plz
Ste 208
Old Bridge, NJ 08857
Phone (732) 360-2700
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Hillsborough, NJ
- NPI 1639146277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1891852489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HOSPITAL PLZ",
"address_2": "SUITE 208",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573093",
"telephone_number": "732-360-2700",
"fax_number": "732-360-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL PLZ",
"address_2": "SUITE 208",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573093",
"telephone_number": "732-360-2700",
"fax_number": "732-360-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "MA28183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1777203",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.