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ANTHONY LEMAIRE M.D.
NPI 1376700096
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New Brunswick, NJ

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
125 PATERSON ST STE 4100, NEW BRUNSWICK, NJ 08901(732) 235-7806 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anthony Lemaire M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY LEMAIRE M.D. (NPI 1376700096) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08987300) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Yale University School Of Medicine (2001).

NPPES Registry Identity

NPI1376700096
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameANTHONY LEMAIRECredential: M.D.
Location Address125 PATERSON ST STE 4100New Brunswick, NJ 08901-1962
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Phone(732) 235-7806
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2001
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1376700096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NJ · 25MA08987300
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 25MA08987300 (NJ)
125 PATERSON ST STE 4100, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Identifiers 1

Medicaid0276278NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Lemaire M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113191024
PECOS Enrollment IDI20111110000498
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Lemaire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Neurosurgery Faculty
Same address
Surgery
125 PATERSON ST, SUITE 4100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
NPI 1083738637 (732) 235-7757

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
61 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services28 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
24 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA NEEDHAM MD
Surgery
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7920
DANIELLE VELEZ LEITNER M.D.
Urology
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7775
DR. MANABU TAKEBE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-6106
EMILY VANKOUWENBERG M.D.
Plastic Surgery
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7865
JOANNA M GURDAK
Nurse Practitioner (Family)
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (862) 668-8379
DR. DANIEL FEINGOLD M.D.
Colon & Rectal Surgery
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-8845
DR. ANURADHA REEMA KAR MD
Surgery (Surgical Critical Care)
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-8845
DR. RAYMOND MIRASOL M.D.
Psychiatry & Neurology (Neurology)
125 PATERSON ST STE 4100
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 235-7757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Lemaire's NPI number?

The NPI number for Anthony Lemaire is 1376700096. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Anthony Lemaire located?

Anthony Lemaire practices at 125 Paterson St Ste 4100, New Brunswick, NJ 08901. The listed phone number is (732) 235-7806.

What is Anthony Lemaire's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Anthony Lemaire enrolled in Medicare?

Yes. Anthony Lemaire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Lemaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Lemaire reassigns Medicare benefits to Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Lemaire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Lemaire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anthony Lemaire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Lemaire affiliated with any hospitals?

According to CMS data, Anthony Lemaire is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital At Hamilton and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Lemaire was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.