Holmdel Pulmonary Medicine, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA05551700 Issued in NJ

Legal business name

HOLMDEL PULMONARY MEDICINE, LLC

Practice address

721 N Beers St
Suite #1C
Holmdel, NJ 07733-1518

Phone

(732) 718-0663

Fax

(732) 264-0071

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Vinod K Aggarwal, M.D.NPI 1023075363

Title

Owner

Phone

(732) 718-0663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinod K Aggarwal, MD FCCP

  • Pulmonary Disease Physician
  • Holmdel, NJ
  • NPI 1023075363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1114246642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "077650284",
            "telephone_number": "732-718-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N BEERS ST",
            "address_2": "SUITE #1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331518",
            "telephone_number": "732-718-0663",
            "fax_number": "732-264-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL PULMONARY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-718-0663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05551700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Holmdel Sports and Spine
• Holmdel Township Public Schools
• Elisabeth Holtzer, RD
• Matthew Holtzer, P.T.
• Wei Hong, MD

• Pulmonary Disease Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pulmonary Disease Physician in New Jersey

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

Verify at the official NPI Registry.