Organization Active NPI

Monmouth Arthritis & Osteoporosis, LLC

  • Rheumatology Physician
  • Manalapan, NJ
National Provider Identifier
1457759458
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA08174300 Issued in NJ
Legal business name
MONMOUTH ARTHRITIS & OSTEOPOROSIS, LLC
Practice address
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone
(732) 414-6001
Fax
(732) 414-6003
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Dr. Rafah Salloum, M.D.NPI 1457417040
Title
Owner/Medical Director
Phone
(732) 414-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 25MA08174300 NJ Primary

Addresses

Primary practice location

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Mailing address

PO Box 281
Colts Neck, NJ 07722-0281
Phone (732) 414-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150309001160 NJ Part B Supplier - Clinic/Group Practice 8325364417 Receives reassigned benefits from 1 practitioner
Practice locations: Lincroft, NJ

National Provider Directory

National Provider Directory

Locations

654 Newman Springs Rd
Ste De
Lincroft, NJ 07738
Phone (732) 414-6001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11850/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1457759458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220281",
            "telephone_number": "732-414-6001",
            "fax_number": "732-414-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "732-414-6001",
            "fax_number": "732-414-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH ARTHRITIS & OSTEOPOROSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "RAFAH",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-414-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA08174300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.