Organization Active NPI

Monmouth Medical Association PC

  • Durable Medical Equipment & Medical Supplies
  • Lakewood, NJ
National Provider Identifier
1689135402
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MONMOUTH MEDICAL ASSOCIATION PC
Practice address
721 W Kennedy Blvd
Lakewood, NJ 08701-1255
Phone
(732) 229-3344
Fax
(732) 728-0870
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Keith Mazanowski
Title
President
Phone
(732) 229-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

721 W Kennedy Blvd
Lakewood, NJ 08701-1255

Mailing address

721 W Kennedy Blvd
Lakewood, NJ 08701-1255

National Provider Directory

National Provider Directory

Locations

450 Shrewsbury PLZ
Ste 291
NJ 07702

285 Parker Rd
Eatontown, NJ 07724
Phone (732) 229-3344

450 Shrewsbury PLZ Ste 291
Ste 291
Shrewsbury, NJ 07702
Phone (732) 229-3344

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1689135402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011255",
            "telephone_number": "732-229-3344",
            "fax_number": "732-728-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH MEDICAL ASSOCIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MAZANOWSKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-229-3344"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.