Holmdel Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA07263400 Issued in NJ

Legal business name

HOLMDEL HEALTH CENTER

Practice address

670 N Beers St
BLDG 2, Ste 1
Holmdel, NJ 07733-1516

Phone

(732) 226-5552

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Serge Menkin, MD

Title

Medical Director

Phone

(732) 226-5552

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1104181452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG. 2, STE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-226-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "address_2": "BLDG 2, STE 1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-226-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MENKIN",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-226-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00644200",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07263400",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08003800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holmdel Adult Medical Day Care
• Holmdel Cardiology & Internal Medicine Assoc PA
• Holmdel Cardiology Associates LLC
• Holmdel Eye Center LLC
• Holmdel Gastroenterology Associates
• Holmdel Imaging LLC
• Holmdel Medical Group, Inc
• Holmdel Multi Specialty Surgical Associates LLC
• Holmdel Obstetrics & Gynecology Associates, PA
• Holmdel Ophthalmology LLC

• Family Medicine Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.