Active NPI
Angappan Murugesan, MD FRCS(C) FACS FICS
- Surgery Physician
- Hazlet, NJ
National Provider Identifier
1003972787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MA32752
- Practice address
- 80 Hazlet Ave
Ste 7
Hazlet, NJ 07730 - Phone
- (732) 264-2220
- Fax
- (732) 264-3090
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA32752 | NJ | Primary |
| Surgery Physician | 208600000X | 125197 | NY |
Addresses
Primary practice location
80 Hazlet Ave
Ste 7
Hazlet, NJ 07730
Mailing address
80 Hazlet Avenue
Suite 7
Holmdel, NJ 07733
Phone (732) 264-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0815306 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125197 | NY | MD | Social Worker |
| MA32752 | NJ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1003972787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HAZLET AVENUE",
"address_2": "SUITE 7",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-264-2220",
"fax_number": "732-764-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HAZLET AVE",
"address_2": "STE 7",
"city": "HAZLET",
"state": "NJ",
"postal_code": "07730",
"telephone_number": "732-264-2220",
"fax_number": "732-264-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURUGESAN",
"first_name": "ANGAPPAN",
"name_prefix": "Dr.",
"credential": "MD FRCS(C) FACS FICS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA32752",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "125197",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0815306",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.