Organization Active NPI

Central Jersey Hand Surgery

Doing business as New Jersey Hand Surgery

  • Medical Specialty Clinic/Center
  • Freehold, NJ
National Provider Identifier
1407255045
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MAO4833900 Issued in NJ
Legal business name
CENTRAL JERSEY HAND SURGERY
Doing business as
New Jersey Hand Surgery
Practice address
535 Iron Bridge Rd
Freehold, NJ 07728-5301
Phone
(732) 462-7700
Fax
(732) 431-4770
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Gary M Pess, MDNPI 1881688794
Title
Managing Partner
Phone
(732) 542-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MAO4833900 NJ Primary

Addresses

Primary practice location

535 Iron Bridge Rd
Freehold, NJ 07728-5301

Mailing address

2 Industrial Way W
Eatontown, NJ 07724-2265
Phone (732) 542-4477

Other identifiers 5

IdentifierTypeStateIssuer
0103667MedicaidNJ
2371707MedicaidNJ
7992505MedicaidNJ
5519501MedicaidNJ
0432105MedicaidNJ

Other names 1

  • New Jersey Hand Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central New Jersey Hand3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1407255045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL WAY W",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242265",
            "telephone_number": "732-542-4477",
            "fax_number": "732-935-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 IRON BRIDGE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285301",
            "telephone_number": "732-462-7700",
            "fax_number": "732-431-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY HAND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "PESS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-542-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MAO4833900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103667",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2371707",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7992505",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5519501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 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.