Active NPI
Lou-Anne Beauregard, M.D.
- Cardiovascular Disease Physician
- Freehold, NJ
National Provider Identifier
1376547786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA46668
- Practice address
- 901 W Main St Ste 205
Cn5050
Freehold, NJ 07728-2537 - Phone
- (732) 866-0800
- Fax
- (732) 866-0018
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA46668 | NJ | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 46668 | NJ |
Addresses
Primary practice location
901 W Main St Ste 205
Cn5050
Freehold, NJ 07728-2537
Mailing address
901 W Main St Ste 205
Cn5050
Freehold, NJ 07728-2537
Phone (732) 866-0800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060046368 | Other | RR MEDICARE | |
| 4114442 | Other | NJ | AETNA PPO |
| 60006205 | Other | NJ | HORIZON NJ HEALTH |
| 662704 | Medicaid | NJ | |
| 83286 | Other | NJ | AMERICAID / AMERIGROUP |
| 0519147 | Other | NJ | AETNA HMO |
| 5714791 | Other | NJ | GHI PPO |
| F07151 | Other | HEALTHNET | |
| P376633 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46668 | NJ | MD | Cardiovascular Disease Physician |
| 46668 | NJ | MD | Clinical Cardiac Electrophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1376547786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W MAIN ST STE 205",
"address_2": "CN5050",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-866-0800",
"fax_number": "732-866-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST STE 205",
"address_2": "CN5050",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-866-0800",
"fax_number": "732-866-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUREGARD",
"first_name": "LOU-ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA46668",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NJ",
"license": "46668",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "060046368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4114442",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60006205",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "662704",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID / AMERIGROUP",
"identifier": "83286",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0519147",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "5714791",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F07151",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P376633",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.