Monmouth Rejuvenation, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04251200 Issued in NJ

Legal business name

MONMOUTH REJUVENATION, LLC

Practice address

40 Broad St
Eatontown, NJ 07724-1553

Phone

(201) 803-3986

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Desimone, MD

Title

Owner

Phone

(201) 803-3986

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1639594609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241553",
            "telephone_number": "201-803-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BROAD ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241553",
            "telephone_number": "201-803-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH REJUVENATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-803-3986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04251200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monmouth Chiropractic Consultants
• Monmouth Digestive Health LLC
• Monmouth Mall Dental, PA
• Monmouth Medical Association PC
• Monmouth Pulmonary Consultants P a
• Monmouth Tissue Laboratory, LLC
• Nakita Moorer, LPN
• Colleen L. Morgan, MAOTR/L
• Gretchen Morgan, MSW, LCSW
• Sarah A Morris, MD

• Internal Medicine Physician in Eatontown, NJ
• Providers in Eatontown, 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 Feb 26, 2014; 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.