Individual provider Active NPI

Bruce Ted Monastersky, M.D.

  • Specialist
  • Toms River, NJ
National Provider Identifier
1447231006
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06435700 Issued in NJ
Practice address
40 Bey Lea Rd
BLDG C-103
Toms River, NJ 08753-2900
Phone
(732) 367-8280
Fax
(732) 367-1529
NPI assigned
Nov 10, 2005
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA06435700 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
BLDG C-103
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
BLDG C-103
Toms River, NJ 08753-2900
Phone (732) 367-8280

Other identifiers 2

IdentifierTypeStateIssuer
2084N0400XOtherNJNEUROLOGY TAXOTOMY #
7106505MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000988 NJ Practitioner - Neurology 0244426948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06435700NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC Specialist CurrentSince Nov 1, 2014 Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Locations

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1447231006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BLDG C-103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-367-8280",
            "fax_number": "732-367-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BLDG C-103",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-367-8280",
            "fax_number": "732-367-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONASTERSKY",
        "first_name": "BRUCE",
        "middle_name": "TED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06435700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEUROLOGY TAXOTOMY #",
            "identifier": "2084N0400X",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.