Active NPI
Harry Collins, MD
- Adult Medicine Physician
- Edison, NJ
National Provider Identifier
1922078377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- MA32839
- Practice address
- 1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838 - Phone
- (732) 287-2020
- Fax
- (732) 287-2071
- NPI assigned
- Jan 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MA32839 | NJ | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MA32839 | NJ |
Addresses
Primary practice location
1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838
Mailing address
1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838
Phone (732) 287-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305402 | Medicaid | NJ | |
| 1104924455 | Other | NJ | GROUP NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA32839 | NJ | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Jersey Medical Associates, PA | Past | Accepting new patients |
Interoperability endpoints
- harrycollins@mjma.allscriptsdirect.net
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.
-
- Primary Care Clinic/Center
- Edison, NJ
- NPI 1184722431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1922078377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ETHEL RD",
"address_2": "SUITE 107B",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172838",
"telephone_number": "732-287-2020",
"fax_number": "732-287-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ETHEL RD",
"address_2": "SUITE 107B",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172838",
"telephone_number": "732-287-2020",
"fax_number": "732-287-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "HARRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NJ",
"license": "MA32839",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MA32839",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2305402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1104924455",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.