GREAT HEALTH MEDICAL NEW JERSEY PC
NPI 1417681008
Family Medicine in Lakewood, NJ
About Great Health Medical New Jersey Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT HEALTH MEDICAL NEW JERSEY PC (NPI 1417681008) is a healthcare organization registered as a family medicine in Lakewood, New Jersey and active in the NPI registry since July 2022. The organization lists Samuel Wertzberger, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Health Medical New Jersey Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Great Health Medical New Jersey PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Great Health Medical New Jersey PC's NPI number?
The NPI number for Great Health Medical New Jersey PC is 1417681008. It was assigned to this organization in the NPPES registry on July 11, 2022.
Where is Great Health Medical New Jersey PC located?
Great Health Medical New Jersey PC is located at 101 Chase Ave Ste 105, Lakewood, NJ 08701. The listed phone number is (212) 201-1252.
What is Great Health Medical New Jersey PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Great Health Medical New Jersey PC enrolled in Medicare?
Yes. Great Health Medical New Jersey PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Health Medical New Jersey PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Great Health Medical New Jersey PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (25), Internal Medicine (1) and Pediatric Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Health Medical New Jersey PC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Great Health Medical New Jersey Pc · NPI 1417681008
Family Medicine organization in Lakewood, New Jersey. Organization record, active in the CMS NPPES registry since July 11, 2022.
## Identity
- **NPI:** 1417681008 (Entity type: Organization)
- **Enumerated:** July 11, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Wertzberger, PRESIDENT
## Practice location
- **Address:** 101 CHASE AVE STE 105, Lakewood, NJ 08701-4761
- **Phone:** (212) 201-1252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Internal Medicine (1), Pediatric Medicine (1); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1417681008/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417681008) · Data from the CMS NPPES public registry.