Organization Active NPI

Monroe Family Medicine, LLC

  • Family Medicine Physician
  • Monroe TWP, NJ
National Provider Identifier
1871529495
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONROE FAMILY MEDICINE, LLC
Practice address
323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628
Phone
(732) 723-1000
Fax
(732) 416-0470
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Keshav Prasad, M.DNPI 1356379457
Title
Owner
Phone
(732) 723-1000

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

323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628

Mailing address

323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628
Phone (732) 723-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100407000280 NJ Part B Supplier - Clinic/Group Practice 3476689019 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe Township, NJ

National Provider Directory

National Provider Directory

Locations

323 Englishtown Rd
Monroe Twp, NJ 08831
Phone (732) 723-1000

323 Spotswood Englishtown Rd
Monroe Twp, NJ 08831
Phone (732) 723-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1871529495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SPOTSWOOD ENGLISHTOWN RD",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318628",
            "telephone_number": "732-723-1000",
            "fax_number": "732-416-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SPOTSWOOD ENGLISHTOWN RD",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318628",
            "telephone_number": "732-723-1000",
            "fax_number": "732-416-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "KESHAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-723-1000",
        "authorized_official_credential": "M.D"
    },
    "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 Monroe TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.