Great Health Medical New Jersey PC
NPI 1417681008 · Family Medicine Physician · Lakewood, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Health Medical New Jersey PC is a Family Medicine Physician organization in Lakewood, NJ (NPI 1417681008).
Provider details
- NPI number
- 1417681008
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Wertzberger, President(248) 514-9356
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Great Health Medical New Jersey PC's NPI number?
- Great Health Medical New Jersey PC's National Provider Identifier (NPI) is 1417681008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Health Medical New Jersey PC?
- Great Health Medical New Jersey PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great Health Medical New Jersey PC located?
- Great Health Medical New Jersey PC's practice location on file with NPPES is 101 Chase Ave Ste 105, Lakewood, NJ 08701-4761.
- What is Great Health Medical New Jersey PC's phone number?
- The practice phone number listed in the NPPES registry for Great Health Medical New Jersey PC is (212) 201-1252.
- Does Great Health Medical New Jersey PC accept Medicare?
- Great Health Medical New Jersey PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Health Medical New Jersey PC?
- The authorized official listed on Great Health Medical New Jersey PC's NPPES record is Samuel Wertzberger, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Health Medical New Jersey PC's NPI active?
- Yes — Great Health Medical New Jersey PC's NPI (1417681008) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.