Organization Active NPI

Pappas Family Medical Center, LLC

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1780915876
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAPPAS FAMILY MEDICAL CENTER, LLC
Practice address
1006 Commons Way
BLDG G
Toms River, NJ 08755-6429
Phone
(732) 551-2003
Fax
(732) 551-2033
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Elena Pappas, DONPI 1124204425
Title
Owner
Phone
(732) 551-2003

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

1006 Commons Way
BLDG G
Toms River, NJ 08755-6429

Mailing address

1006 Commons Way
BLDG G
Toms River, NJ 08755-6429
Phone (732) 551-2003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000118 NJ Part B Supplier - Clinic/Group Practice 3971638529 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2003767Pappas Family Medical Center1006 Commons Way, Toms River, NJ 08755Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

1006 Commons Way
Bldg G
Toms River, NJ 08755
Phone (732) 341-1600

Practitioners & affiliated clinicians

Practitioners 1

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": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1780915876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 COMMONS WAY",
            "address_2": "BLDG G",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-551-2003",
            "fax_number": "732-551-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 COMMONS WAY",
            "address_2": "BLDG G",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-551-2003",
            "fax_number": "732-551-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAPPAS FAMILY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-551-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.