Active NPI
Diagnostic Genetics
- Clinical Medical Laboratory
- Long Branch, NJ
National Provider Identifier
1356561864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622103 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.