Monmouth Behavioral Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MONMOUTH BEHAVIORAL DIAGNOSTICS, LLC

Practice address

3 Corbett Way
Suite B
Eatontown, NJ 07724-2283

Phone

(848) 456-5394

NPI assigned

Mar 10, 2014

Organization subpart

Yes

Parent organization

SPROUT HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Asher Meister-Aldama

Title

Chief Operating Officer

Phone

(848) 456-5394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1578989935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "address_2": "SUITE B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "address_2": "SUITE B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283",
            "telephone_number": "848-456-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH BEHAVIORAL DIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPROUT HEALTH, LLC",
        "enumeration_date": "2014-03-10",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "MEISTER-ALDAMA",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "848-456-5394"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molland Spinal Care LLC
• Elizabeth Virginia Molland, D.C.
• Zachary Todd Molland, D.C.
• Stephanie Mondesir
• Daniel Francis Mongak, LMFT
• Monmouth Cardiology Associates, LLC
• Monmouth Chiropractic Consultants
• Monmouth Digestive Health LLC
• Monmouth Mall Dental, PA
• Monmouth Medical Association PC

• Clinical Medical Laboratory in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.