Central Jersey Emergency Medicine Asst.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

25M809127 Issued in NJ

Legal business name

CENTRAL JERSEY EMERGENCY MEDICINE ASST.

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(732) 294-2666

Fax

(732) 431-8267

NPI assigned

Aug 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mavin Michael Jones, M.D.

Title

Chairman

Phone

(732) 294-2666

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Waciega, MD

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1346295482
  NPD

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1306194386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666",
            "fax_number": "732-431-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666",
            "fax_number": "732-431-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY EMERGENCY MEDICINE ASST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MAVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "732-294-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25M809127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Periodontal Health
• Center for Sports Physical Therapy, LLC
• Center for Vein Restoration NJ LLC
• Central Jersey Bariatrics, LLC
• Central Jersey Emergency Medicine Associates, PC
• Central Jersey Gastroenterology Associates PA
• Central Jersey Hand Surgery
• Central Jersey Medical Associates, LLC
• Central Jersey Neurology Associates, P.a.
• Central Jersey Psychological Services, LLC

• General Acute Care Hospital in Freehold, NJ
• Providers in Freehold, NJ by specialty
• General Acute Care Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.