Travel Medicine of New Jersey

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TRAVEL MEDICINE OF NEW JERSEY

Practice address

655 Shrewsbury Ave
Suite 206
Shrewsbury, NJ 07702-4179

Phone

(732) 345-0029

Fax

(732) 345-0037

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Stacy Socha, RN

Title

Director Clinical Services

Phone

(732) 345-0029

Specialties & licenses 1

Addresses

Other names 1

• Passport Health Doing business as

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1447676382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 206",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-345-0029",
            "fax_number": "732-345-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "address_2": "SUITE 206",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-345-0029",
            "fax_number": "732-345-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL MEDICINE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SOCHA",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL SERVICES",
        "authorized_official_telephone_number": "732-345-0029",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.