HMHMG Complex Care – Internal Medicine Physician, NPI 1154379626
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HMHMG Complex Care
PO BOX 416768
BOSTON, MA 022416768
Phone: (732) 807-0800
Fax: (732) 922-0805
Type: Mailing
3600 ROUTE 66 FL 3
NEPTUNE, NJ 077532605
Phone: (732) 807-0800
Fax: (732) 922-0527
Type: Location
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 077015688
Phone: (732) 807-0800
Fax: (732) 922-0548
Type: Location
1200 Jumping Brook Rd
Bldg 5
Neptune, NJ 077532634
Phone: (732) 902-7000
Fax: (732) 481-8464
Type: Location
PO BOX 95000-7720
PHILADELPHIA, PA 191950001
Phone: (732) 807-0800
Fax: (732) 922-0527
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (189 days ago).
Enrollment records
1
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060109000000 | O | Clinic/Group Practice | NJ | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02241)
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