NPIMap

Organization Active NPI

Jersey Shore Monmouth Family Medicine Group P C

  • Family Medicine Physician
  • Freehold, NJ
National Provider Identifier
1760438030
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JERSEY SHORE MONMOUTH FAMILY MEDICINE GROUP P C
Practice address
3499 Route 9
Freehold, NJ 07728-3258
Phone
(732) 625-3166
Fax
(732) 409-7473
NPI assigned
May 26, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
John Gumina, M.D.NPI 1831169515
Title
Director
Phone
(732) 625-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X NJ Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NJ

Addresses

Primary practice location

3499 Route 9
Freehold, NJ 07728-3258

Mailing address

3499 Route 9
Freehold, NJ 07728-3258
Phone (732) 625-3166

National Provider Directory

National Provider Directory

Locations

4764 Route 9 S
Howell, NJ 07731
Phone (732) 370-3563

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1760438030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283258",
            "telephone_number": "732-625-3166",
            "fax_number": "732-409-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 ROUTE 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283258",
            "telephone_number": "732-625-3166",
            "fax_number": "732-409-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE MONMOUTH FAMILY MEDICINE GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "GUMINA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-625-3166",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.