Organization Active NPI

Monmouth Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Eatontown, NJ
National Provider Identifier
1285601674
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MONMOUTH CARDIOLOGY ASSOCIATES, LLC
Practice address
11 Meridian Rd
Eatontown, NJ 07724
Phone
(732) 663-0300
Fax
(732) 663-0301
NPI assigned
Mar 3, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Mrs. Anita Annunziata
Title
Credentialing Coordinator
Phone
(732) 776-5138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

11 Meridian Rd
Eatontown, NJ 07724

Mailing address

11 Meridian Rd
Eatontown, NJ 07724-2242
Phone (732) 663-0300

Other practice location 1

222 Schanck Rd Ste 104
Freehold, NJ 07728-2974
Phone (732) 431-1332

Other practice location 2

298 Applegarth Rd Ste G
Monroe, NJ 08831-3822
Phone (732) 210-3285

Other identifiers 1

IdentifierTypeStateIssuer
3008100MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001822 NJ Part B Supplier - Clinic/Group Practice 6901881200 Receives reassigned benefits from 44 practitioners
Practice locations: Eatontown, 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
31D0935944Monmouth Cardiology Assoc Neptune11 Meridian Road, Eatontown, NJ 07724Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

222 Schanck Rd
Ste 104
Freehold, NJ 07728
Phone (732) 431-1332

222 Schanck Rd
Freehold, NJ 07728
Phone (732) 431-3373

222 Schanck Rd
Ste 4
Freehold, NJ 07728

215 Brighton Ave
Long Branch, NJ 07740
Phone (732) 222-1543

298 Applegarth Rd
Ste G
Monroe, NJ 08831
Phone (732) 210-3285

301 Bingham Ave
Ste C
Ocean, NJ 07712
Phone (732) 663-0300

81 Veronica Ave
Ste 203
Somerset, NJ 08873
Phone (732) 545-3080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJICD

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1285601674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242242",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MERIDIAN RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-663-0300",
            "fax_number": "732-663-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Schanck Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282974",
            "country_code": "US",
            "telephone_number": "732-431-1332",
            "fax_number": "732-431-1712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "298 Applegarth Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NJ",
            "postal_code": "088313822",
            "country_code": "US",
            "telephone_number": "732-210-3285",
            "fax_number": "732-262-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONMOUTH CARDIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "732-776-5138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.