Individual provider Active NPI

Angappan Murugesan, MD FRCS(C) FACS FICS

  • Surgery Physician
  • Hazlet, NJ
National Provider Identifier
1003972787
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA32752 Issued in NJ
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

Updated by the provider on Jul 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0815306MedicaidNJ

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

LicenseStateTypeSpecialty
125197NYMDSocial Worker
MA32752NJMDSurgery 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.

Verify at the official NPI Registry.