Individual provider Active NPI

Brian R Incremona, M.D.

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1992752810
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05681000 Issued in NJ
Practice address
157 Broad St
Suite 317
Red Bank, NJ 07701-2028
Phone
(732) 530-2960
Fax
(732) 530-7446
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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 25MA05681000 NJ Primary

Addresses

Primary practice location

157 Broad St
Suite 317
Red Bank, NJ 07701-2028

Mailing address

157 Broad St
Suite 317
Red Bank, NJ 07701-2028
Phone (732) 530-2960

Other identifiers 1

IdentifierTypeStateIssuer
6098606MedicaidNJ

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
I20090828000291 NJ Practitioner - Internal Medicine 9638115900 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine Current Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine CurrentSince Nov 6, 2012 Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Internal Medicine PastSince Jan 13, 2003 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine Past Accepting new patients

Locations

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1992752810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BROAD ST",
            "address_2": "SUITE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012028",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BROAD ST",
            "address_2": "SUITE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012028",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCREMONA",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05681000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6098606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.