Active NPI
Ea Health - New Jersey LLC
- Emergency Medicine Physician
- Red Bank, NJ
National Provider Identifier
1063186641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EA HEALTH - NEW JERSEY LLC
- Practice address
- 1 Riverview PLZ
Red Bank, NJ 07701-1864 - Phone
- (732) 741-2700
- NPI assigned
- Aug 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur L Gruen, MD
- Title
- MD/Owner
- Phone
- (588) 759-4765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1 Riverview PLZ
Red Bank, NJ 07701-1864
Mailing address
PO Box 227158
Dallas, TX 75222-7158
Phone (858) 759-4765
Other practice location 1
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 395-6377
Other practice location 2
727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900
Other practice location 3
1945 Route 33
Neptune City, NJ 07753
Phone (732) 775-5500
Other practice location 4
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011
Other practice location 5
1 Riverview Plz
Red Bank, NJ 07701-1864
Phone (732) 741-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210901001290 | NJ | Part B Supplier - Clinic/Group Practice | 6103222039 |
Receives reassigned benefits from 93 practitioners Practice locations: Brick, NJ; Holmdel, NJ; Manahawkin, NJ; Neptune Township, NJ; Red Bank, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Ea Health - New Jersey LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Neptune, NJ
- NPI 1326830639
Practitioners & affiliated clinicians
Practitioners 94
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lebanon, NJ
- NPI 1871565077
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1063186641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 227158",
"city": "DALLAS",
"state": "TX",
"postal_code": "752227158",
"telephone_number": "858-759-4765",
"fax_number": "858-201-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIVERVIEW PLZ",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011864",
"telephone_number": "732-741-2700"
}
],
"practiceLocations": [
{
"address_1": "425 Jack Martin Blvd",
"address_purpose": "LOCATION",
"city": "Brick",
"state": "NJ",
"postal_code": "087247732",
"country_code": "US",
"telephone_number": "732-395-6377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 N Beers St",
"address_purpose": "LOCATION",
"city": "Holmdel",
"state": "NJ",
"postal_code": "077331514",
"country_code": "US",
"telephone_number": "732-739-5900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1945 Route 33",
"address_purpose": "LOCATION",
"city": "Neptune City",
"state": "NJ",
"postal_code": "07753",
"country_code": "US",
"telephone_number": "732-775-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1140 Route 72 W",
"address_purpose": "LOCATION",
"city": "Manahawkin",
"state": "NJ",
"postal_code": "080502412",
"country_code": "US",
"telephone_number": "609-597-6011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Riverview Plz",
"address_purpose": "LOCATION",
"city": "Red Bank",
"state": "NJ",
"postal_code": "077011864",
"country_code": "US",
"telephone_number": "732-741-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EA HEALTH - NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-06",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "GRUEN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "588-759-4765",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.