Monmouth Ear Nose & Throat LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA72278 Issued in NJ

Legal business name

MONMOUTH EAR NOSE & THROAT LLC

Practice address

225 Highway 35
Suite 102B
Red Bank, NJ 07701-5933

Phone

(732) 345-0555

Fax

(732) 345-0620

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara A Ryan

Title

Practice Manager

Phone

(732) 345-0555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1528215761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HIGHWAY 35",
            "address_2": "SUITE 102B",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015933",
            "telephone_number": "732-345-0555",
            "fax_number": "732-345-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HIGHWAY 35",
            "address_2": "SUITE 102B",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015933",
            "telephone_number": "732-345-0555",
            "fax_number": "732-345-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH EAR NOSE & THROAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "732-345-0555"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA72278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Patricia Moir, PT, DPT
• Radwa Bahaa Mokhtar, PSY.D.
• Julie L Molin, DMD
• Moments in Time Counseling, LLC
• Monmouth Behavioral Therapy Group, LLC
• Monmouth Foot & Ankle Group
• Monmouth Foot and Ankle Associates
• Monmouth Pain & Rehabilitation
• Monmouth Pain and Rehabilitation PC
• Monmouth Pediatric Group, P.a.

• Specialist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.