Organization Active NPI

Pond Medical Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Freehold, NJ
National Provider Identifier
1003153693
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
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

Updated by the provider on Jan 16, 2013

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)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.