Organization Active NPI

Millennium Pathology Consulting LLC

  • Clinical Medical Laboratory
  • Brick, NJ
National Provider Identifier
1184762502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
25MA03573100 Issued in NJ
Legal business name
MILLENNIUM PATHOLOGY CONSULTING LLC
Practice address
525 Route 70
Brick, NJ 08723-4022
Phone
(732) 920-1772
Fax
(732) 920-0679
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martin Saul Krumerman, M.D.NPI 1972641371
Title
President
Phone
(732) 920-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 25MA03573100 NJ Primary

Addresses

Primary practice location

525 Route 70
Brick, NJ 08723-4022

Mailing address

36 Brussel Dr
New Hyde Park, NY 11040-3703
Phone (516) 248-4655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184762502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BRUSSEL DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403703",
            "telephone_number": "516-248-4655",
            "fax_number": "516-248-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234022",
            "telephone_number": "732-920-1772",
            "fax_number": "732-920-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PATHOLOGY CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUMERMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-920-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MA03573100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.