Bayshore Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAYSHORE MEDICAL GROUP PC

Practice address

146 Rte 9
Marlboro Plaza
Englishtown, NJ 07726-8249

Phone

(732) 972-0660

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. L Scott Larsen, M.D.

Title

President

Phone

(732) 888-7353

Specialties & licenses 1

Addresses

Practitioners 2

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

• Janice Siciliano

  • Internal Medicine Physician
  • Sea Girt, NJ
  • NPI 1689612129
  NPD (past)
• Melissa Su, M.D.

  • Internal Medicine Physician
  • Morganville, NJ
  • NPI 1801834858
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1548213440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 RTE 9",
            "address_2": "MARLBORO PLAZA",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268231",
            "telephone_number": "732-972-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 RTE 9",
            "address_2": "MARLBORO PLAZA",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268249",
            "telephone_number": "732-972-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-888-7353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mourad S Ayad, PHARMACIST
• B&M Care Management
• Back on Your Feet Podiatry LLC
• Ashley Bailey, OTR/L
• Lynn Bauchiero, DC
• Behuman Medical Group New Jersey, P.C.
• Frederique Denisse Bergondo, MA, LMFT
• Sanjay Bhagat, M.D.
• Ashley Blatt
• Bonnie Kung DDS PC

• Internal Medicine Physician in Englishtown, NJ
• Providers in Englishtown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.