Active NPI
Pond Medical Group LLC
- Addiction Medicine (Internal Medicine) Physician
- Freehold, NJ
National Provider Identifier
1003153693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- POND MEDICAL GROUP LLC
- Practice address
- 4345 US Highway 9
Freehold, NJ 07728-4215 - Phone
- (732) 431-5300
- NPI assigned
- Jan 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Barlow
- Title
- President, Jupiter Professional Dev
- Phone
- (561) 748-2889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
4345 US Highway 9
Freehold, NJ 07728-4215
Mailing address
PO Box 7240
Jupiter, FL 33468-7240
Phone (561) 748-2889
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1003153693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7240",
"city": "JUPITER",
"state": "FL",
"postal_code": "334687240",
"telephone_number": "561-748-2889",
"fax_number": "561-748-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 US HIGHWAY 9",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284215",
"telephone_number": "732-431-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POND MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT, JUPITER PROFESSIONAL DEV",
"authorized_official_telephone_number": "561-748-2889"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.