NPIMap

Organization Active NPI

Advanced Breast Surgery LLC

  • Medical Specialty Clinic/Center
  • Oakhurst, NJ
National Provider Identifier
1811045453
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA55487 Issued in NJ
Legal business name
ADVANCED BREAST SURGERY LLC
Practice address
257 Monmouth Rd
Suite 2
Oakhurst, NJ 07755
Phone
(732) 531-5200
Fax
(732) 531-5836
NPI assigned
Jan 8, 2007
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Debra E. Camal, MDNPI 1902833312
Title
Owner/Physician
Phone
(732) 531-5200

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
Medical Specialty Clinic/Center 261QM2500X 25MA07197700 NJ
Medical Specialty Clinic/Center 261QM2500X MA55487 NJ Primary

Addresses

Primary practice location

257 Monmouth Rd
Suite 2
Oakhurst, NJ 07755

Mailing address

257 Monmouth Rd
Suite 2
Oakhurst, NJ 07755
Phone (732) 531-5200

National Provider Directory

National Provider Directory

Locations

257 Monmouth Rd
Oakhurst, NJ 07755
Phone (732) 531-1155

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1811045453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD",
            "address_2": "SUITE 2",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-5200",
            "fax_number": "732-531-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD",
            "address_2": "SUITE 2",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-5200",
            "fax_number": "732-531-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BREAST SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "CAMAL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "732-531-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA07197700",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA55487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.