NPIMap

Organization Active NPI

Jersey Coast Family Medicine LLC

  • Family Medicine Physician
  • Brick, NJ
National Provider Identifier
1750564209
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JERSEY COAST FAMILY MEDICINE LLC
Practice address
495 Jack Martin Blvd
Suite 5
Brick, NJ 08724-7778
Phone
(732) 458-8000
Fax
(732) 458-8020
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Kenneth E Kronhaus, M.D.NPI 1104918242
Title
President
Phone
(732) 458-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

495 Jack Martin Blvd
Suite 5
Brick, NJ 08724-7778

Mailing address

495 Jack Martin Blvd
Suite 5
Brick, NJ 08724-7778
Phone (732) 458-8000

National Provider Directory

National Provider Directory

Locations

495 Jack Martin Blvd
Ste 5
Brick, NJ 08724
Phone (732) 458-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2624/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1750564209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-8000",
            "fax_number": "732-458-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-8000",
            "fax_number": "732-458-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY COAST FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "KRONHAUS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-458-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.