NPPES file of Aug 9, 2026

Joseph Gabriel Birnbaum, MD

Endocrinology, Diabetes & Metabolism Physician · Toms River, NJ

Joseph Gabriel Birnbaum, MD is an endocrinology, diabetes & metabolism physician with a practice address in Toms River, New Jersey, and NPI 1669417788, issued on Jun 20, 2006. Check the license (New Jersey 25MA03866900, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669417788
Name
Joseph Gabriel Birnbaum
Credential
MD
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
25MA03866900 NJ
Self-reported in NPPES; status is on the state search
Practice location
10 Kettle Creek RD, Toms River, NJ 08753
Phone
(732) 255-2100
Enumerated
Jun 20, 2006
Record last updated
Jun 16, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(732) 255-3773
Medicare enrollment
Enrolled (PECOS I20110124001130); accepts Medicare assignment
Medical or professional school
Hahnemann University College Of Medicine, 1973
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 10 Kettle Creek RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cheryl Dahl-Monahan, LPCProfessional Counselor1639631799
  2. Nicole GaramellaMarriage & Family Therapist1710789342
  3. William Sachs, D.P.M..Foot & Ankle Surgery Podiatrist1588687065
  4. Marvelyn Tiziani, PT, DPTPhysical Therapist1295309813
  5. Jessica WormerProfessional Counselor1467174961

Verify Joseph Gabriel Birnbaum in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA03866900
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.2 times the Medicare Part D claims of the average endocrinology, diabetes & metabolism physician in 2024

11,025 Medicare Part D claims for 1,141 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 38% of claims. 26 claims were for opioids.

  1. Joseph Birnbaum11,025
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium1,757 claims
  2. Metformin Hcl945 claims
  3. Rosuvastatin Calcium538 claims
  4. Ozempic421 claims
  5. Synthroid379 claims
  6. Atorvastatin Calcium364 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,234.84

139 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Joseph Birnbaum$2,234.84
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Joseph Gabriel Birnbaum among 417 endocrinology, diabetes & metabolism physician records in New Jersey

Joseph Gabriel Birnbaum, MD is one of 417 endocrinology, diabetes & metabolism physician records with a practice address in New Jersey. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 61% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated1973 · median 2006 among the 313 with a school on file
  • Record last updated2021 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in New Jersey

There are 417 endocrinology, diabetes & metabolism physician records in New Jersey.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Ahmet Can, M.D.Toms River, NJ 087531518214626
  2. David Kleinman, MDToms River, NJ 087531639123755
  3. Joseph Rodriguez, M.D.Toms River, NJ 087531164594990
  4. Paula Imai, APRN-BC, CDEToms River, NJ 087551326298993
  5. Nikunjkumar PatelToms River, NJ 087551174039309
  6. Shivani Patel, MDToms River, NJ 087551831659580
  7. Priya Sahay, M.D.Toms River, NJ 087551255781548
  8. Leslie Taguba-Madrid, MDToms River, NJ 087551801885389

Common questions

What is Joseph Gabriel Birnbaum, MD's NPI number?

Joseph Gabriel Birnbaum, MD's National Provider Identifier (NPI) is 1669417788, issued on Jun 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Gabriel Birnbaum, MD located?

The NPPES record lists a practice address at 10 Kettle Creek RD, Toms River, NJ, 08753. Phone: (732) 255-2100. Providers update this record themselves, so call before visiting.

How can I verify Joseph Gabriel Birnbaum, MD's license?

NPPES lists New Jersey license number 25MA03866900, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Joseph Gabriel Birnbaum, MD prescribe under Medicare Part D?

In 2024, Joseph Gabriel Birnbaum, MD had 11,025 Medicare Part D claims for 1,141 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

What is Joseph Gabriel Birnbaum, MD's MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.