Organization Active NPI

WLB Medical Associates, P.C.

  • Internal Medicine Physician
  • West Long Branch, NJ
National Provider Identifier
1124066709
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA60758 Issued in NJ
Legal business name
WLB MEDICAL ASSOCIATES, P.C.
Practice address
241 Monmouth Rd
West Long Branch, NJ 07764-1177
Phone
(732) 263-7910
Fax
(732) 263-7912
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Carl Marchetti, M.D.
Title
Director
Phone
(732) 775-8789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA60758 NJ Primary

Addresses

Primary practice location

241 Monmouth Rd
West Long Branch, NJ 07764-1177

Mailing address

241 Monmouth Rd
West Long Branch, NJ 07764-1177
Phone (732) 263-7910

National Provider Directory

National Provider Directory

Locations

241 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 263-7910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1124066709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641177",
            "telephone_number": "732-263-7910",
            "fax_number": "732-263-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641177",
            "telephone_number": "732-263-7910",
            "fax_number": "732-263-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLB MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-775-8789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.