Active NPI
Bruce Ted Monastersky, M.D.
- Specialist
- Toms River, NJ
National Provider Identifier
1447231006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA06435700
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084N0400X | Other | NJ | NEUROLOGY TAXOTOMY # |
| 7106505 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06435700 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group, PC | Specialist | Current | 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.
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
dba Kimball Medical Center-Physicians
- Pediatrics Physician
- Lakewood, NJ
- NPI 1053360990
-
- Neurology Physician
- Lakewood, NJ
- NPI 1790735017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.