Organization Active NPI

Monmouth Plastic Surgery PC

  • Plastic Surgery Physician
  • Red Bank, NJ
National Provider Identifier
1477750503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MB06219300 Issued in NJ
Legal business name
MONMOUTH PLASTIC SURGERY PC
Practice address
264 Broad St
Red Bank, NJ 07701-2003
Phone
(732) 842-3737
Fax
(732) 842-3110
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Allen GrecoNPI 1083764187
Title
Owner
Phone
(732) 842-3737

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MB06219300 NJ Primary

Addresses

Primary practice location

264 Broad St
Red Bank, NJ 07701-2003

Mailing address

PO Box 8004
Red Bank, NJ 07701-8004
Phone (732) 842-3737

National Provider Directory

National Provider Directory

Locations

264 Broad St
Red Bank, NJ 07701
Phone (732) 842-3737

264 Broad St
#8004
Red Bank, NJ 07701
Phone (732) 842-3737

Practitioners & affiliated clinicians

Practitioners 2

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477750503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8004",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018004",
            "telephone_number": "732-842-3737",
            "fax_number": "732-842-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-842-3737",
            "fax_number": "732-842-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-842-3737"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MB06219300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.