Oakhurst Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA066004 Issued in NJ

Legal business name

OAKHURST MEDICAL GROUP, LLC

Practice address

40 Monmouth Rd
Oakhurst, NJ 07755-1654

Phone

(732) 222-3243

Fax

(732) 222-3019

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Macaluso

Title

Practice Manager

Phone

(732) 222-3243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1215029541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONMOUTH RD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551654",
            "telephone_number": "732-222-3243",
            "fax_number": "732-222-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONMOUTH RD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551654",
            "telephone_number": "732-222-3243",
            "fax_number": "732-222-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "MACALUSO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "732-222-3243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA066004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "CK2104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.