Central Jersey Endocrine Assoc LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

55313,56079,33417 Issued in NJ

Legal business name

CENTRAL JERSEY ENDOCRINE ASSOC LLC

Doing business as

Richard J Agrin,MD, Leon Shulman,MD

Practice address

720 US Highway 202/206 Ste 1B
Bridgewater, NJ 08807-1746

Phone

(908) 385-1946

Fax

(908) 231-1321

NPI assigned

Apr 24, 2007

Last updated

Feb 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leon H Shulman, MDNPI 1477599348

Title

MD

Phone

(908) 231-1311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RICHARD J AGRIN,MD, LEON SHULMAN,MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Leon H Shulman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bridgewater, NJ
  • NPI 1477599348
  Medicare reassignment NPD Authorized official
• Peter C Cook, MD

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1962481432
  NPD
• Renata Kulessa Dussias, D.O.

  • Family Medicine Physician
  • Hillsborough, NJ
  • NPI 1972582336
  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1114145935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 202/206 STE 1B",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-385-1946",
            "fax_number": "908-231-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 202/206 STE 1B",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071746",
            "telephone_number": "908-385-1946",
            "fax_number": "908-231-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Union Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "08807",
            "country_code": "US",
            "telephone_number": "908-231-1311",
            "fax_number": "908-231-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL JERSEY ENDOCRINE ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "908-231-1311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "55313,56079,33417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "529320",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8695105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD J AGRIN,MD, LEON SHULMAN,MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.