Monmouth Pediatric Group, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MONMOUTH PEDIATRIC GROUP, P.A.

Practice address

272 Broad St
Red Bank, NJ 07701-2003

Phone

(732) 741-0456

Fax

(732) 219-9477

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Wassel, MD

Title

Partner

Phone

(732) 741-0456

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790726628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-741-0456",
            "fax_number": "732-219-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-741-0456",
            "fax_number": "732-219-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH PEDIATRIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASSEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-741-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2661004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monmouth Ear Nose & Throat LLC
• Monmouth Foot & Ankle Group
• Monmouth Foot and Ankle Associates
• Monmouth Pain & Rehabilitation
• Monmouth Pain and Rehabilitation PC
• Monmouth Plastic Surgery PC
• Monmouth Surgi Center Inc
• Monmouth Therapy & Counseling LLC
• Michael J Montalbano, LAC
• Gianecarla B Montero, M.D.

• Pediatrics Physician in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.