New Jersey HPB Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA08508200 Issued in NJ

Legal business name

NEW JERSEY HPB SURGERY, LLC

Practice address

142 Route 35
Eatontown, NJ 07724-1876

Phone

(732) 380-9200

NPI assigned

Jan 23, 2014

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Hagopian, MD

Title

President

Phone

(732) 380-9200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1356764666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 12TH ST",
            "address_2": "#14H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROUTE 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241876",
            "telephone_number": "732-380-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY HPB SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "HAGOPIAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-380-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA08508200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189910",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Neyhart, PT
• Nancy Niedermeyer, LPC

• Surgery Physician in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.