Bassam N Odatalla
DOCTORS OFFICE OF BRICK


Address: 686 Route 70, Brick, NJ 08723-4026
Phone: 7322628200

Bassam N Odatalla (NPI# 1063620060, PAC ID# 0345386348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1063620060
PAC ID by PECOS 0345386348
Professional Enrollment ID I20091006000017
Full Name Bassam N Odatalla
Organization Legal Name DOCTORS OFFICE OF BRICK
Address 686 Route 70
Brick
NJ 08723-4026
Phone Number 7322628200
Gender M
Graduation Year 2006
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 1254575061
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
686 Route 70, Brick, NJ 08723-4026 7322628200 DOCTORS OFFICE OF BRICK
556 Passaic Ave, West Caldwell, NJ 07006-7449 9738082273 DOCTORS OFFICE OF WEST CALDWELL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name DOCTORS OFFICE OF BRICK
Physicians 15

Physicians with the same organization

Name Specialty Organization Address
Zhen Zhang Family Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Robert F Conkling Family Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
John P Lopez Emergency Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Stephen T Spang Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Jennifer Plescia Nurse Practitioner Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Daniel F Vernik Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Alvin H Goldberg Emergency Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Ignazio Dimino Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Gina M Miranda Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Alfred A Bradley Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026

Office Location

Street Address 686 ROUTE 70
City BRICK
State NJ
Zip 08723-4026

Physicians in the same location

Name Specialty Organization Address
Zhen Zhang Family Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Robert F Conkling Family Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
John P Lopez Emergency Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Stephen T Spang Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Jennifer Plescia Nurse Practitioner Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Daniel F Vernik Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Alvin H Goldberg Emergency Medicine Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Ignazio Dimino Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Gina M Miranda Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Alfred A Bradley Physician Assistant Doctors Office of Brick 686 Route 70, Brick, NJ 08723-4026
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Theodore A D Amato Podiatry 214 Chambers Bridge Rd, Brick, NJ 08723-2802
Sandra Gomez Nurse Practitioner Shore Neurology, P.a. 1613 Rt, Suite 88, Brick, NJ 08723-3000
Gerald J Ferencz Neurology Shore Neurology, P.a. 1613 Rt, Suite 88, Brick, NJ 08723-3000
Brett Tave Chiropractic 101 Prosper Way, Suite H, Brick, NJ 08723-3543
Jarrod Peter Kaufman General Surgery 525 Route 70 E, Suite 1b, Brick, NJ 08723-4022
John Salerno Clinical Social Worker 525 Route 70 E, Suite 3f, Brick, NJ 08723-4022
Diosdado P Non Pathology 525 Route 70, Brick, NJ 08723-4022
Judith M Skinner Optometry Charles M Cummins Od Pa. 588 Route 70, Suite 9, Brick, NJ 08723-4023
Paul D Romano Optometry Charles M Cummins Od Pa. 588 Route 70, Suite 9, Brick, NJ 08723-4023
Nadine Bloomfield Optometry Charles M Cummins Od Pa. 588 Route 70, Suite 9, Brick, NJ 08723-4023
Find all physicians in zip 08723

Competitor

Search similar physicians

City BRICK
Zip Code 08723
Specialty FAMILY MEDICINE
City + Specialty BRICK + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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