Monmouth Vascular Imaging LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MONMOUTH VASCULAR IMAGING LLC

Practice address

1198 Lakewood Rd
Toms River, NJ 08753-2237

Phone

(732) 201-2225

Fax

(888) 960-2493

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lev Pukin, MDNPI 1609849546

Title

Authorized Official

Phone

(732) 201-2225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lev Pukin, MD

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1609849546

  NJ, Single Specialty

  Medicare reassignment NPD Authorized official
• Natalia Epshteyn, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1992378004
  Medicare reassignment NPD
• Rachel Zezon

  • Gerontology Nurse Practitioner
  • Somerset, NJ
  • NPI 1659012979
  Medicare reassignment NPD
• Gabrielle Eve Casale

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1942097084

  NJ

  Medicare reassignment
• Craig Mark Person, MD

  • Plastic Surgery Physician
  • York, PA
  • NPI 1952401267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1033740774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331107",
            "telephone_number": "732-201-2225",
            "fax_number": "888-960-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 LAKEWOOD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532237",
            "telephone_number": "732-201-2225",
            "fax_number": "888-960-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH VASCULAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "PUKIN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-201-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Ted Monastersky, M.D.
• Sabrina Teresa Mondello
• Emily Lisa Monderine, APRN
• Krystina Monetti, LSW
• Lucretia S Mongal, MD
• Nicole Monroe, LPC
• Arturo Delfin Monta, MD
• Hailey Montanile
• Mood for Thought Therapy Group
• Moorality Community Services LLC

• Vascular & Interventional Radiology Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.