Central Jersey Pulmonary & Medical Associates, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC

Practice address

719 N Beers St
Suites 2E & 2F
Holmdel, NJ 07733

Phone

(732) 264-1001

Fax

(732) 264-4495

NPI assigned

Feb 1, 2006

Last updated

Jul 28, 2011By 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

Dr. Sam T Bebawy, MD FCCPNPI 1396717971

Title

Dr Owner

Phone

(732) 264-1001

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Sam T Bebawy, MD FCCP

  • Pulmonary Disease Physician
  • Holmdel, NJ
  • NPI 1396717971

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Elie Mansour, MD FCCP

  • Pulmonary Disease Physician
  • Holmdel, NJ
  • NPI 1356314280

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Gaetano J Aquilino, DO

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1740253871
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1710958244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITES 2E & 2F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-264-1001",
            "fax_number": "732-264-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITES 2E & 2F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-264-1001",
            "fax_number": "732-264-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "BEBAWY",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "732-264-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FCCP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050687",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caputo Foot & Ankle CTRS
• Patrick J Caputo, DPM
• Cardiology of NJ, P.C.
• Brittany Marie Carey, D.O.
• Vincent J Catanese, M.D.
• Central Jersey Pulmonary Medicine (Central Jersey Primary Care)
• Bonnie Hotchkiss Ceres, L.AC., RN
• Garett Cermele
• Esteban Chan, DMD
• John Calvin Chatlos Jr., MD

• Pulmonary Disease Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.