Organization Active NPI

Allure Medical Center PC

  • Family Medicine Physician
  • Morganville, NJ
National Provider Identifier
1548714934
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08697900 Issued in NJ
Legal business name
ALLURE MEDICAL CENTER PC
Practice address
25 Kilmer Dr Ste 105
Morganville, NJ 07751-1561
Phone
(732) 851-7111
Fax
(732) 851-7008
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Gary Vaysblat
Title
Practice Administrator
Phone
(732) 851-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08697900 NJ Primary

Addresses

Primary practice location

25 Kilmer Dr Ste 105
Morganville, NJ 07751-1561

Mailing address

25 Kilmer Dr Ste 105
Morganville, NJ 07751-1561
Phone (732) 851-7111

Other identifiers 1

IdentifierTypeStateIssuer
135818OtherNJABFM

National Provider Directory

National Provider Directory

Locations

25 Kilmer Dr
Ste 105
Morganville, NJ 07751
Phone (732) 851-7111

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1548714934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KILMER DR STE 105",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511561",
            "telephone_number": "732-851-7111",
            "fax_number": "732-851-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR STE 105",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511561",
            "telephone_number": "732-851-7111",
            "fax_number": "732-851-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "VAYSBLAT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-851-7111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08697900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABFM",
            "identifier": "135818",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.