Active NPI
Freehold Endoscopy Associates, LLC
Doing business as Endoscopy Center of Monmouth County
- Ambulatory Surgical Clinic/Center
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FREEHOLD ENDOSCOPY ASSOCIATES, LLC
- Doing business as
- Endoscopy Center of Monmouth County
- Practice address
- 222 Schanck Road
Ste 100
Freehold, NJ 07728 - Phone
- (732) 845-0990
- Fax
- (732) 845-0088
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert R Blank, MD
- Title
- Medical Director
- Phone
- (732) 845-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
222 Schanck Road
Ste 100
Freehold, NJ 07728
Mailing address
222 Schanck Road
Ste 100
Freehold, NJ 07728
Phone (732) 845-0990
Other names 1
- Endoscopy Center of Monmouth County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727001575 | NJ | Part B Supplier - Ambulatory Surgical Center | 9234109398 | Practice locations: Freehold, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Freehold Endoscopy Associates LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1022676 | Endoscopy Center of Monmouth County | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
Member Of
Locations
222 Schanck Rd
Ste 302
Freehold, NJ 07728
Phone (732) 577-1999
222 Schanck Rd
Ste 100
Freehold, NJ 07728
Phone (732) 845-0900
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Gastroenterology Physician
- Freehold, NJ
- NPI 1710982210
-
- Gastroenterology Physician
- Freehold, NJ
- NPI 1053371203
-
- Specialist
- Freehold, NJ
- NPI 1629073127
-
- Gastroenterology Physician
- Freehold, NJ
- NPI 1023256567
-
- Gastroenterology Physician
- Stoneham, MA
- NPI 1962694323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1447320213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SCHANCK ROAD",
"address_2": "STE 100",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-845-0990",
"fax_number": "732-845-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SCHANCK ROAD",
"address_2": "STE 100",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-845-0990",
"fax_number": "732-845-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEHOLD ENDOSCOPY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "BLANK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "732-845-0990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Endoscopy Center of Monmouth County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Freehold, NJ
- Freehold Dental & Specialty Group, LLC (Brighter Dental Care (Freehold))
- Freehold Diagnostic & Treatment Center Inc. (Rajkumar R. Singh MD)
- Freehold Diagnostics LLC
- Freehold DME Inc
- Freehold Ear Nose & Throat Associates, PA
- Freehold Eye Consultants, LLC
- Freehold Family Eyecare P.C.
- Freehold First Aid and Emergency Squad Inc (Freehold EMS)
- Freehold Health and Wellness LLC (Infinity health and wellness)
- Freehold Hospitalists, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.