Active NPI
Jersey Shore Cardiothoracic and Vascular Surgery Associates PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocean, NJ
National Provider Identifier
1225187883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MA40670
- Legal business name
- JERSEY SHORE CARDIOTHORACIC AND VASCULAR SURGERY ASSOCIATES PA
- Practice address
- 301 Bingham Ave
Suite a
Ocean, NJ 07712-4762 - Phone
- (732) 775-9077
- Fax
- (732) 988-7852
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M Thompson, M.D.
- Title
- President
- Phone
- (732) 775-9077
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MA40670 | NJ | Primary |
Addresses
Primary practice location
301 Bingham Ave
Suite a
Ocean, NJ 07712-4762
Mailing address
301 Bingham Ave
Suite a
Ocean, NJ 07712-4762
Phone (732) 775-9077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
234 Industrial Way W
Ste A103
Eatontown, NJ 07724
Phone (848) 208-2055
301 Bingham Ave
Ste A
Ocean, NJ 07712
Phone (732) 775-9077
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wall, NJ
- NPI 1285633321
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocean, NJ
- NPI 1760480909
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Neptune, NJ
- NPI 1013918416
-
- Vascular Surgery Physician
- Long Branch, NJ
- NPI 1437357035
-
- Physical Therapist
- Little Silver, NJ
- NPI 1023565538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1225187883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BINGHAM AVE",
"address_2": "SUITE A",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124762",
"telephone_number": "732-775-9077",
"fax_number": "732-988-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BINGHAM AVE",
"address_2": "SUITE A",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124762",
"telephone_number": "732-775-9077",
"fax_number": "732-988-7852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE CARDIOTHORACIC AND VASCULAR SURGERY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-775-9077",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "MA40670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.