Organization Active NPI

Point Pleasant Medical Group, LLC

  • Internal Medicine Physician
  • Point Pleasant Boro, NJ
National Provider Identifier
1235619073
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
POINT PLEASANT MEDICAL GROUP, LLC
Practice address
1010 Beaver Dam Rd
Point Pleasant Boro, NJ 08742-3866
Phone
(732) 892-8493
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Dr. Sanjay Kumar, MDNPI 1437120920
Title
Dr/Owner
Phone
(732) 367-7575

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1010 Beaver Dam Rd
Point Pleasant Boro, NJ 08742-3866

Mailing address

2105 W County Line Rd Ste 4
Jackson, NJ 08527-2301
Phone (732) 367-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190129000827 NJ Part B Supplier - Clinic/Group Practice 8022355056 Receives reassigned benefits from 4 practitioners
Practice locations: Point Pleasant Boro, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0123161Point Pleasant Medical Group1010 Beaver Dam Road, Point Pleasant Beach, NJ 08742Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1010 Beaver Dam Rd
Point Pleasant Boro, NJ 08742
Phone (732) 892-8493

1010 Beaver Dam Rd
Ste 100
Point Pleasant Boro, NJ 08742

Practitioners & affiliated clinicians

Practitioners 5

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": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1235619073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD STE 4",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-367-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BEAVER DAM RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423866",
            "telephone_number": "732-892-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT PLEASANT MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "732-367-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.