Organization Active NPI

Monmouth-Ocean Neurology PC

  • Specialist
  • Neptune, NJ
National Provider Identifier
1508848599
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MONMOUTH-OCEAN NEUROLOGY PC
Practice address
1944 Corlies Ave
Ste 206
Neptune, NJ 07753-4862
Phone
(732) 774-8282
Fax
(732) 774-6816
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Alan Colicchio, M.D.NPI 1477535375
Title
Physician
Phone
(732) 774-8282

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1944 Corlies Ave
Ste 206
Neptune, NJ 07753-4862

Mailing address

1944 Corlies Ave
Ste 206
Neptune, NJ 07753-4862
Phone (732) 774-8282

Other identifiers 1

IdentifierTypeStateIssuer
6472605MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001266 NJ Part B Supplier - Clinic/Group Practice 0143112599 Receives reassigned benefits from 11 practitioners
Practice locations: Brick, NJ; Neptune, NJ

National Provider Directory

National Provider Directory

Locations

190 Jack Martin Blvd
Bldg B3
Brick, NJ 08724
Phone (732) 774-4554

190 Jack Martin Blvd
Brick, NJ 08724

190 Jack Martin Blvd
Ste B3
Brick, NJ 08724

190 Jack Martin Blvd
#B3
Brick, NJ 08724

1944 State Route 33
Ste 206
Neptune, NJ 07753

1944 Corlies Ave
#206
Neptune, NJ 07753

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1508848599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CORLIES AVE",
            "address_2": "STE 206",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-774-8282",
            "fax_number": "732-774-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CORLIES AVE",
            "address_2": "STE 206",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-774-8282",
            "fax_number": "732-774-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH-OCEAN NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "COLICCHIO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-774-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6472605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.