NPIMap

Organization Active NPI

Senior Campus Primary Care Physicians, PC

  • Durable Medical Equipment & Medical Supplies
  • Tinton Falls, NJ
National Provider Identifier
1245381805
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SENIOR CAMPUS PRIMARY CARE PHYSICIANS, PC
Practice address
3000 Essex Rd
Tinton Falls, NJ 07753-2631
Phone
(732) 643-2070
Fax
(732) 643-2015
NPI assigned
Jan 12, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Matthew J Narrett, M.D.
Title
VP and Chief Medical Officer
Phone
(410) 402-2257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3000 Essex Rd
Tinton Falls, NJ 07753-2631

Mailing address

701 Maiden Choice LN
Baltimore, MD 21228-5968
Phone (410) 402-2257

National Provider Directory

National Provider Directory
Tax ID family
Senior Campus Primary Care Physicians PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1245381805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MAIDEN CHOICE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285968",
            "telephone_number": "410-402-2257",
            "fax_number": "410-402-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ESSEX RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077532631",
            "telephone_number": "732-643-2070",
            "fax_number": "732-643-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CAMPUS PRIMARY CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "NARRETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "410-402-2257",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.