Active NPI
Jonathan Andrew Beutel, M.D.
- Anesthesiology Physician
- Neptune, NJ
National Provider Identifier
1780757377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06209300
- Practice address
- 1945 State Route 33
Neptune, NJ 07753-4859 - Phone
- (732) 775-5500
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA06209300 | NJ | Primary |
Addresses
Primary practice location
1945 State Route 33
Neptune, NJ 07753-4859
Mailing address
PO Box 1003
PT Pleasant Beach, NJ 08742-1003
Phone (732) 892-5091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6808905 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06209300 | NJ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780757377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "PT PLEASANT BEACH",
"state": "NJ",
"postal_code": "087421003",
"telephone_number": "732-892-5091",
"fax_number": "732-892-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 STATE ROUTE 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-775-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEUTEL",
"first_name": "JONATHAN",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA06209300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6808905",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.