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

Active since September 14, 2006
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: October 18, 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 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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bricktown Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bricktown Medical Group PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lily Babayev, MD
Internal Medicine
NPI 1851307136
34 LANES MILL RD
Brick, NJ 08724
(732) 458-0300
✔ PECOS✔ Accepts MedicareSame address
Martin Riss, DO
Family Practice
NPI 1548276827
34 LANES MILL RD
Brick, NJ 08724
(732) 458-0300
✔ PECOSSame address

Source: 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 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.

Is Bricktown Medical Group PA enrolled in Medicare?

Yes. Bricktown Medical Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bricktown Medical Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bricktown Medical Group PA, in Family Practice and Internal Medicine. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.