Individual provider Active NPI

Michael Y Viksman, MD

  • Allergy Physician
  • Toms River, NJ
National Provider Identifier
1972668747
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
25MA0577370 Issued in NJ
Practice address
368 Lakehurst Rd Suite 304
Toms River, NJ 08755
Phone
(732) 349-6856
Fax
(732) 349-0117
NPI assigned
Dec 22, 2006
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA05773700 NJ
Allergy Physician 207KA0200X 25MA0577370 NJ Primary

Addresses

Primary practice location

368 Lakehurst Rd Suite 304
Toms River, NJ 08755

Mailing address

368 Lakehurst Rd Suite 304
Toms River, NJ 08755
Phone (732) 349-6856

Other identifiers 1

IdentifierTypeStateIssuer
6520600MedicaidNJ

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
I20050623000519 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0042255697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

368 Lakehurst Rd
Suite 304
Toms River, NJ 08755-7339
Phone (732) 349-6856

717 N Beers St
Suite 2F
Holmdel, NJ 07733-1525
Phone (732) 349-6856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05773700NJMDAllergy & Immunology Physician
25MA0577370NJMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Affiliates-Michael Viksman MD LLC Allergy & Immunology CurrentSince Oct 2, 2019 Accepting new patients
Allergy Group NJ LLC Allergy & Immunology PastSince Oct 27, 2024 Accepting new patients

Locations

717 N Beers St
Ste 2A
Holmdel, NJ 07733
Phone (732) 683-1071

100 Craig Rd
Manalapan, NJ 07726
Phone (732) 683-1071

100 Craig Rd
Ste 204
Manalapan, NJ 07726
Phone (732) 278-1160

368 Lakehurst Rd
Ste 304
Toms River, NJ 08755
Phone (732) 349-6856

Interoperability endpoints

  • Direct secure messaging: michaely.viksman@allergyaffiliates-michaelviksman.chartmakerdirect.com
  • Direct secure messaging: mviksman425537@direct.ahsys.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1972668747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD SUITE 304",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-349-6856",
            "fax_number": "732-349-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD SUITE 304",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-349-6856",
            "fax_number": "732-349-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKSMAN",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA05773700",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA0577370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6520600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.