Organization Active NPI

Diagnostic Genetics

  • Clinical Medical Laboratory
  • Long Branch, NJ
National Provider Identifier
1356561864
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTIC GENETICS
Practice address
300 2ND Ave
Pahology Lab
Long Branch, NJ 07740-6303
Phone
(732) 229-8711
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Louis Zinterhofer, M.D.
Title
Pathologistpresident
Phone
(732) 229-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NJ Primary

Addresses

Primary practice location

300 2ND Ave
Pahology Lab
Long Branch, NJ 07740-6303

Mailing address

279 3Rd Ave
Suite 104
Long Branch, NJ 07740-6205
Phone (732) 229-8711

Other identifiers 1

IdentifierTypeStateIssuer
4622103MedicaidNJ

National Provider Directory

National Provider Directory

Locations

279 3rd Ave
Ste 104
Long Branch, NJ 07740
Phone (732) 229-8494

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356561864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 104",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406205",
            "telephone_number": "732-229-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "address_2": "PAHOLOGY LAB",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-229-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC GENETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZINTERHOFER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PATHOLOGISTPRESIDENT",
        "authorized_official_telephone_number": "732-229-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.