Individual provider Active NPI

Jeffrey Robert Koretzky, MD

  • Internal Medicine Physician
  • Howell, NJ
National Provider Identifier
1942271283
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06614600 Issued in NJ
Practice address
4618 Route 9 South
Howell, NJ 07731
Phone
(732) 364-5533
Fax
(732) 367-1325
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06614600 NJ Primary

Addresses

Primary practice location

4618 Route 9 South
Howell, NJ 07731

Mailing address

1180 Sheperd Court
Toms River, NJ 08755
Phone (732) 244-3605

Other identifiers 1

IdentifierTypeStateIssuer
7421702MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001042 NJ Practitioner - Internal Medicine 7315933603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4618 RT 9
Howell, NJ 07731
Phone (732) 364-5533

Merit-based Incentive Payment System (MIPS)

Final score
22.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Associates LLC Internal Medicine CurrentSince Jan 1, 1970 Accepting new patients

Locations

4618 Route 9 S
Howell, NJ 07731
Phone (732) 364-1010

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.

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": "1408579200000",
    "number": "1942271283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SHEPERD COURT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-244-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 ROUTE 9 SOUTH",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "07731",
            "telephone_number": "732-364-5533",
            "fax_number": "732-367-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORETZKY",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06614600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7421702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.