Lakehurst Professional Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKEHURST PROFESSIONAL MEDICAL GROUP LLC

Practice address

25 Mule Rd Unit B8
Toms River, NJ 08755-5037

Phone

(732) 240-4000

Fax

(732) 240-1441

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By 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

Vinod Sancheti, MDNPI 1437176088

Title

Owner

Phone

(732) 240-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vinod Sancheti, M.D

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1437176088
  Medicare reassignment Care Compare group NPD Authorized official
• Anselma Gabudao, APN-BC

  • Adult Health Nurse Practitioner
  • Mount Holly, NJ
  • NPI 1275932774
  Medicare reassignment Care Compare group NPD
• Arturo Delfin Monta, MD

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1790732089
  Medicare reassignment Care Compare group NPD
• Allyssa Vendiola Perez

  • Gerontology Nurse Practitioner
  • Mount Holly, NJ
  • NPI 1679926539
  Medicare reassignment Care Compare group NPD
• Mathew Koshy Kandathil, MD

  • Gastroenterology Physician
  • Tavernier, FL
  • NPI 1346232097

  Internal Medicine, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1629553565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-240-4000",
            "fax_number": "732-240-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-240-4000",
            "fax_number": "732-240-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEHURST PROFESSIONAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "SANCHETI",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-240-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "25MA06779200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sal T Laforgia, MD
• Ashley Lagary
• John Engelbert Argel Lagayada, APN
• Lai Pharmacy LLC (Core Relief Pharmacy)
• Sara Ann Laird, CCC-SLP
• Lakewood Medical Group LLC
• Lakewood Surgical Group PA
• Lakewood Urology Limited Liability Company (University Urology Associates of New Jersey)
• Lakhani Eye Associates a Professional Corporation
• Vipul K Lakhani, MD

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, 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 Sep 26, 2018; 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.