Organization Active NPI

Monmouth Surgical Specialists, LLC

  • Surgery Physician
  • Holmdel, NJ
National Provider Identifier
1053672915
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MONMOUTH SURGICAL SPECIALISTS, LLC
Practice address
727 N Beers St
Suite 2 East
Holmdel, NJ 07733-1514
Phone
(732) 739-5925
Fax
(732) 290-7067
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Karl W Strom, MD
Title
Partner
Phone
(201) 845-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

727 N Beers St
Suite 2 East
Holmdel, NJ 07733-1514

Mailing address

201 W Passaic St
Suite 201
Rochelle Park, NJ 07662-3100
Phone (201) 845-6363

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherNJREG NUMBER

National Provider Directory

National Provider Directory

Locations

727 N Beers St
Ste 2
Holmdel, NJ 07733
Phone (732) 739-5925

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1053672915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PASSAIC ST",
            "address_2": "SUITE 201",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623100",
            "telephone_number": "201-845-6363",
            "fax_number": "201-845-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BEERS ST",
            "address_2": "SUITE 2 EAST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331514",
            "telephone_number": "732-739-5925",
            "fax_number": "732-290-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-845-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REG NUMBER",
            "identifier": "00000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.