One provider matched this enrollment ID.
Enrollment ID I20070406000000 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20070406000000Family PracticeNJ
- I20121108000490Hospice/Palliative CareDE
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 5215901NJ
Other
- 223772973NJ· Issued by TAX ID
- 496931· Issued by AETNA/HMO
- 10650756NJ· Issued by CAQH
- 4248043NJ· Issued by AETNA PIN
- 0533428000· Issued by AMERIHEALTH
- 080179131· Issued by RR MEDICARE
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.