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INTEGRATED MEDICINE ALLIANCE PA
NPI 1649252776
Internal Medicine in Shrewsbury, NJ

Active since November 15, 2005CLIA Certified · 3 labs
1026 BROAD ST UNIT 18, SHREWSBURY, NJ 07702(732) 542-0002(732) 542-2992 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 19, 2025, Dec 30, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Integrated Medicine Alliance Pa NPPES

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

INTEGRATED MEDICINE ALLIANCE PA (NPI 1649252776) is a healthcare organization registered as an internal medicine in Shrewsbury, New Jersey and active in the NPI registry since November 2005. The organization holds 3 active CLIA laboratory certificates and lists Brendan J. Mulholland, President, as its authorized official.

NPPES Registry Identity

NPI1649252776
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTEGRATED MEDICINE ALLIANCE PA
Location Address1026 BROAD ST UNIT 18Shrewsbury, NJ 07702-4380
Mailing AddressPo Box 8519Red Bank, NJ 07701-8519 · (732) 460-9840 · Fax (732) 460-9848
Phone(732) 542-0002
Fax(732) 542-2992
Organization SubpartNo
Authorized OfficialBrendan J. MulhollandPresident · (732) 542-0002
Enumeration DateNovember 15, 2005
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1649252776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1026 BROAD ST UNIT 18, Shrewsbury, NJ 07702
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Other Identifiers 3

Medicaid3259501NJ
OtherJ020393Champus
OtherED3543NJ · Rrmc

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)

Integrated Medicine Alliance Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Integrated Medicine Alliance PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner22
Family Practice16
Internal Medicine9
Cardiovascular Disease (Cardiology)7
Interventional Cardiology3
Emergency Medicine1
Endocrinology1
Geriatric Medicine1
3 other specialties3

Nearest to this location (20)

See all 63
Stephanie Gallant-Goedtel, FNP
Nurse Practitioner
NPI 1841847050
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOSSame address
Colleen Holt, FNP-C
Nurse Practitioner
NPI 1821559253
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS✔ Accepts MedicareSame address
Mariam Ibrahim, MD
Family Practice
NPI 1558899443
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 460-9840
✔ PECOS✔ Accepts MedicareSame address
Mina Soliman, MD
Family Practice
NPI 1780175919
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS✔ Accepts MedicareSame address
Jenna Yeo, FNP-BC
Nurse Practitioner
NPI 1457065211
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOSSame address
David Zagha, M.D.
Cardiovascular Disease (Cardiology)
NPI 1750641817
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS✔ Accepts MedicareSame address
Mallika Bhat, M.D
Endocrinology
NPI 1811221807
1026 BROAD ST UNIT 18
Shrewsbury, NJ 07702
(732) 460-9840
✔ PECOS0.1 mi
Karen Scherer, FNP-C
Nurse Practitioner
NPI 1639623317
30 SHREWSBURY PLZ
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS✔ Accepts Medicare0.1 mi
Nafisa Bhoori, MD
Internal Medicine
NPI 1811979941
30 SHREWSBURY PLAZA
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Miller, MD
Cardiovascular Disease (Cardiology)
NPI 1770565251
30 SHREWSBURY PLAZA
Shrewsbury, NJ 07702
(732) 542-2124
✔ PECOS✔ Accepts Medicare0.1 mi
Peter Valko, MD
Emergency Medicine
NPI 1528003159
30 SHREWSBURY PLAZA
Shrewsbury, NJ 07702
(732) 542-0002
✔ PECOS0.1 mi
Dana Essner, APN,C
Nurse Practitioner
NPI 1952503393
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Brendan Mulholland, MD
Family Practice
NPI 1922080092
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Alexis Totten, DNP
Nurse Practitioner
NPI 1770064362
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Yevgeniy Vaynkof, M.D.
Family Practice
NPI 1558707620
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
David Zukoff, M.D.
Cardiovascular Disease (Cardiology)
NPI 1023089778
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Andrew Fouchey, APN
Nurse Practitioner
NPI 1992307060
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Jacqueline Ingram, AU.D.
Qualified Audiologist
NPI 1144875733
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ Accepts Medicare0.9 mi
Douglas Ross, MD
Internal Medicine
NPI 1518161223
35 S GILBERT ST
Tinton Falls, NJ 07701
(732) 842-3050
✔ PECOS✔ Accepts Medicare0.9 mi
Jaimee Bogdon, MSN, FNP-C
Nurse Practitioner
NPI 1679054225
175 PATTERSON AVE
Shrewsbury, NJ 07702
(732) 747-4600
✔ PECOS✔ Accepts Medicare1.4 mi
See all 63 clinicians

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 3

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 31D0903007

Integrated Medicine Alliance PA · Shrewsbury, NJ
Active · expires Aug 30, 2028
CLIA Number31D0903007
Laboratory TypeUrgent Care
Certificate Effective DateAugust 31, 2026
Certificate Expiration DateAugust 30, 2028
Laboratory DirectorLizett J. Marza
Laboratory Phone(732) 542-0002
Laboratory LocationIntegrated Medicine Alliance PA1026 Broad St Unit 18, Shrewsbury, NJ 07702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D1101267

Integrated Medicine Alliance, PA · Port Monmouth, NJ
Active · expires Jun 23, 2027
CLIA Number31D1101267
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorLizett Marza
Laboratory Phone(732) 460-9840
Laboratory LocationIntegrated Medicine Alliance, PA363 State Hwy 36, Port Monmouth, NJ 07758
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D0113531

Integrated Medicine Alliance, PA · Red Bank, NJ
Active · expires Jun 18, 2027
CLIA Number31D0113531
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorBrendan J. Mulholland
Laboratory Phone(732) 460-9840
Laboratory LocationIntegrated Medicine Alliance, PA35 Gilbert Street, Red Bank, NJ 07701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Medicine Alliance PA's NPI number?

The NPI number for Integrated Medicine Alliance PA is 1649252776. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Integrated Medicine Alliance PA located?

Integrated Medicine Alliance PA is located at 1026 Broad St Unit 18, Shrewsbury, NJ 07702. The listed phone number is (732) 542-0002.

What is Integrated Medicine Alliance PA's specialty?

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

Is Integrated Medicine Alliance PA enrolled in Medicare?

Yes. Integrated Medicine Alliance PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Medicine Alliance PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 11 Medicare specialties reassign their Medicare billing to Integrated Medicine Alliance PA. 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 (22), Family Practice (16) and Internal Medicine (9). Of these, 1 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Medicine Alliance PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Integrated Medicine Alliance PA was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.