Organization Active NPI

Monroe Karetzky, MD, P.a.

  • Specialist
  • Englewood, NJ
National Provider Identifier
1124341110
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA02871700 Issued in NJ
Legal business name
MONROE KARETZKY, MD, P.A.
Practice address
200 Engle St
Suite 10
Englewood, NJ 07631-2440
Phone
(201) 596-0404
Fax
(201) 569-0422
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Monroe Karetzky, M.D.
Title
Owner
Phone
(201) 569-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA02871700 NJ Primary

Addresses

Primary practice location

200 Engle St
Suite 10
Englewood, NJ 07631-2440

Mailing address

200 Engle St
Suite 10
Englewood, NJ 07631-2440
Phone (201) 596-0404

Other identifiers 1

IdentifierTypeStateIssuer
3037606MedicaidNJ

National Provider Directory

National Provider Directory

Locations

200 Engle St
Ste 10
Englewood, NJ 07631
Phone (201) 568-5940

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1124341110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 10",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-596-0404",
            "fax_number": "201-569-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST",
            "address_2": "SUITE 10",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312440",
            "telephone_number": "201-596-0404",
            "fax_number": "201-569-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE KARETZKY, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "KARETZKY",
        "authorized_official_first_name": "MONROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-569-0404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02871700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3037606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.