Organization Active NPI

Jersey Shore Monmouth County Associates

  • Obstetrics & Gynecology Physician
  • Wall Township, NJ
National Provider Identifier
1891732566
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JERSEY SHORE MONMOUTH COUNTY ASSOCIATES
Practice address
1924 Highway 35
Wall Township, NJ 07719-3530
Phone
(732) 974-8404
Fax
(732) 974-8904
NPI assigned
Jun 1, 2006
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Carl Marchetti, M.D.NPI 1821071085
Title
Director
Phone
(732) 775-8789

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
Obstetrics & Gynecology Physician 207V00000X NJ Primary
Gynecology Physician 207VG0400X NJ

Addresses

Primary practice location

1924 Highway 35
Wall Township, NJ 07719-3530

Mailing address

1924 Highway 35
Wall Township, NJ 07719-3530
Phone (732) 974-8404

National Provider Directory

National Provider Directory

Locations

4788 Route 9 S
Howell, NJ 07731
Phone (732) 905-9802

1924 State Route 35
Wall Township, NJ 07719
Phone (732) 481-4743

Practitioners & affiliated clinicians

Practitioners 9

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1891732566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 HIGHWAY 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-974-8404",
            "fax_number": "732-974-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 HIGHWAY 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-974-8404",
            "fax_number": "732-974-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE MONMOUTH COUNTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-775-8789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.