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BRICKTOWN MEDICAL GROUP PA
NPI 1568567238
Internal Medicine in Brick, NJ

Active since September 14, 2006CLIA 31D0716954 · Waiver
34 LANES MILL RD, BRICK, NJ 08724(732) 458-0300(732) 458-8449 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bricktown Medical Group Pa NPPES

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

BRICKTOWN MEDICAL GROUP PA (NPI 1568567238) is a healthcare organization registered as an internal medicine in Brick, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Martin Riss, President, as its authorized official.

NPPES Registry Identity

NPI1568567238
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRICKTOWN MEDICAL GROUP PA
Location Address34 LANES MILL RDBrick, NJ 08724
Mailing Address34 Lanes Mill RdBrick, NJ 08724 · (732) 458-0300 · Fax (732) 458-8449
Phone(732) 458-0300
Fax(732) 458-8449
Organization SubpartNo
Authorized OfficialMartin RissPresident · (732) 458-0300
Enumeration DateSeptember 14, 2006
Last NPPES UpdateFebruary 23, 2011
✔ NPI 1568567238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
34 LANES MILL RD, Brick, NJ 08724
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D0716954

Bricktown Medical Group · Brick, NJ
Active · expires Aug 31, 2026
CLIA Number31D0716954
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMartin Riss
Laboratory Phone(908) 458-0300
Laboratory LocationBricktown Medical GroupLanes Mill Rd, Brick, NJ 08724
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

GARY A, HEUBEL, O.D.,P.A.
Clinic/Center (Primary Care)
34 LANES MILL RD, DORADO PLAZA
BRICK, NJ 08724
Ocean County (732) 202-0911
MARTIN RISS DO
Family Medicine
34 LANES MILL RD
BRICK, NJ 08724
Ocean County (732) 458-0300
DR. WILLIAM L LIAO MD
Internal Medicine
34 LANES MILL RD
BRICK, NJ 08724
Ocean County (732) 458-0300
LILY L BABAYEV MD
Internal Medicine
34 LANES MILL RD
BRICK, NJ 08724
Ocean County (732) 458-0300
MADP BRICK LLC
Dentist (General Practice)
34 LANES MILL RD
BRICK, NJ 08724
Ocean County (732) 458-9797

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 Bricktown Medical Group PA's NPI number?

The NPI number for Bricktown Medical Group PA is 1568567238. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Bricktown Medical Group PA located?

Bricktown Medical Group PA is located at 34 Lanes Mill Rd, Brick, NJ 08724. The listed phone number is (732) 458-0300.

What is Bricktown Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bricktown Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0716954) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bricktown Medical Group PA was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.