Prema Eapen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA06899300 Issued in NJ

Practice address

1899 Route 88
Brick, NJ 08724-3124

Phone

(732) 840-8177

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Northeastern Ohio University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Family PracticeGroup PAC ID 2466408356, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
• Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28485/brand/1/csg/1/fhir/r4
• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
• Direct secure messaging: prema.eapen.1@28485.direct.athenahealth.com

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.

• Our Family Practice

  • Family Medicine Physician
  • Brick, NJ
  • NPI 1609884790
  Medicare reassignment Care Compare group NPD
• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538
  NPD (past)
• Jersey Shore Monmouth Family Medicine Group P C

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1760438030
  NPD (past)
• Our Family Practice LLC

  • Non-Pharmacy Dispensing Site
  • Brick, NJ
  • NPI 1811201189
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hackensack Meridian Ambulatory Care, Inc.

  • Home Health Agency
  • Brick, NJ
  • NPI 1376638064
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1972510097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "PREMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06899300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Dyckman, MD
• Dynamic Movement Physical Therapy and Wellness
• Dzibela Optometrists, LLC
• E. David Morgan
• Kent A Eagelton
• Ear Nose Throat and Facial Plastic Surgery Associates PC
• Eastern Dental of Ocean Monmouth, LLC
• Eastern Dental of Ocean/Monmouth, LLC
• Donna Ebberup Ciervo
• Michael Ralph Eberhardt, MS, PA-C, LAT, ATC

• Family Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.