Individual provider Active NPI

Lewis Jay Mufson, MD

  • Gastroenterology Physician
  • Freehold, NJ
National Provider Identifier
1437130622
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25689 Issued in NJ
Practice address
8 Thoreau Dr
Freehold, NJ 07728-4666
Phone
(732) 780-1888
Fax
(732) 780-0148
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25689 NJ Primary
Gastroenterology Physician 207RG0100X 101217 NY

Addresses

Primary practice location

8 Thoreau Dr
Freehold, NJ 07728-4666

Mailing address

8 Thoreau Dr
Freehold, NJ 07728-4666
Phone (732) 780-1888

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

LicenseStateTypeSpecialty
25689NJMDGastroenterology Physician
101217NYMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1437130622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THOREAU DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284666",
            "telephone_number": "732-780-1888",
            "fax_number": "732-780-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THOREAU DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284666",
            "telephone_number": "732-780-1888",
            "fax_number": "732-780-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFSON",
        "first_name": "LEWIS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25689",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "101217",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2010; 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.