Active NPI
Jersey Shore Medical and Pediatrics Associates,LLC
- Adolescent Medicine (Internal Medicine) Physician
- Lakewood, NJ
National Provider Identifier
1073642401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- MA070826
- Legal business name
- JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC
- Practice address
- 1215 Highway 70
Suite 1005
Lakewood, NJ 08701-5947 - Phone
- (732) 942-0888
- Fax
- (732) 942-1230
- NPI assigned
- Mar 2, 2007
- Last updated
- Feb 18, 2010
- 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
- Dr. Randy Pablo Talamayan, MD
- Title
- President
- Phone
- (732) 942-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MA070826 | NJ | Primary |
Addresses
Primary practice location
1215 Highway 70
Suite 1005
Lakewood, NJ 08701-5947
Mailing address
1215 Highway 70
Suite 1005
Lakewood, NJ 08701-5947
Phone (732) 942-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1215 Route 70
Ste 1005
Lakewood, NJ 08701
Phone (732) 905-0077
1255 Route 70
Ste 12N
Lakewood, NJ 08701
Phone (732) 942-0888
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Long Branch, NJ
- NPI 1992963169
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1114267853
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1861498693
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1164680500
-
- Family Nurse Practitioner
- Lakewood, NJ
- NPI 1942998976
-
- Adolescent Medicine (Internal Medicine) Physician
- Lakewood, NJ
- NPI 1407826399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1073642401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 HIGHWAY 70",
"address_2": "SUITE 1005",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015947",
"telephone_number": "732-942-0888",
"fax_number": "732-942-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HIGHWAY 70",
"address_2": "SUITE 1005",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015947",
"telephone_number": "732-942-0888",
"fax_number": "732-942-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "TALAMAYAN",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "PABLO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-942-0888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NJ",
"license": "MA070826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
- Regina Jenkins
- Jersey Association for Autistic Children- Brainbuilders
- Jersey Medical Logistics Limited Liability Company
- Jersey Shore Brachytherapy P a
- Jersey Shore Brachytherapy P a
- Jersey Shore Teletherapy LLC
- Jersey Shore University Medical Center
- Jewish Federation of Ocean County
- Elizabeth Jimenez, CSW
- JML Medical Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.