REFORMED CHURCH HOUSE STAFF
NPI 1508072745
Family Medicine - Geriatric Medicine in Old Bridge, NJ
About Reformed Church House Staff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REFORMED CHURCH HOUSE STAFF (NPI 1508072745) is a healthcare organization registered as a geriatric medicine in Old Bridge, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Edward Mezic, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reformed Church House Staff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Reformed Church House Staff, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D0672460
Reformed Church Home · Old Bridge, NJFrequently 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 Reformed Church Ministries To The Aging, The Particular Synod Of The M's NPI number?
The NPI number for Reformed Church Ministries To The Aging, The Particular Synod Of The M is 1508072745. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Reformed Church House Staff.
Where is Reformed Church Ministries To The Aging, The Particular Synod Of The M located?
Reformed Church Ministries To The Aging, The Particular Synod Of The M is located at 1990 State Route 18, Old Bridge, NJ 08857. The listed phone number is (732) 607-9230.
What is Reformed Church Ministries To The Aging, The Particular Synod Of The M's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Reformed Church Ministries To The Aging, The Particular Synod Of The M enrolled in Medicare?
Yes. Reformed Church Ministries To The Aging, The Particular Synod Of The M is registered in the Medicare PECOS enrollment system.
When is Reformed Church Ministries To The Aging, The Particular Synod Of The M's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Reformed Church Ministries To The Aging, The Particular Synod Of The M?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Reformed Church Ministries To The Aging, The Particular Synod Of The M, in Nurse Practitioner and Pulmonary Disease. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Reformed Church Ministries To The Aging, The Particular Synod Of The M hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0672460) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Reformed Church Ministries To The Aging, The Particular Synod Of The M was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Reformed Church House Staff · NPI 1508072745
Geriatric Medicine organization in Old Bridge, New Jersey. Organization record, active in the CMS NPPES registry since May 15, 2007.
## Identity
- **NPI:** 1508072745 (Entity type: Organization)
- **Enumerated:** May 15, 2007
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Legal business name:** Reformed Church Ministries To The Aging, The Particular Synod Of The M
- **Organization subpart:** No
- **Authorized official:** Edward Mezic, PHYSICIAN
## Practice location
- **Address:** 1990 STATE ROUTE 18, Old Bridge, NJ 08857-3771
- **Phone:** (732) 607-9230 · **Fax:** (732) 607-9231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pulmonary Disease (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2024
- **Other identifiers:** Medicaid 4477511 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508072745) · Data from the CMS NPPES public registry.