Organization Active NPI

Central Jersey Pulmonary Medicine

  • Pulmonary Disease Physician
  • Holmdel, NJ
National Provider Identifier
1922066935
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CENTRAL JERSEY PULMONARY MEDICINE
Practice address
702 N Beers St
Suite 2
Holmdel, NJ 07733-1520
Phone
(732) 264-7755
Fax
(732) 264-8858
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Vinod K Aggarwal, MDNPI 1023075363
Title
President
Phone
(732) 264-7755

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

702 N Beers St
Suite 2
Holmdel, NJ 07733-1520

Mailing address

PO Box 284
Wickatunk, NJ 07765
Phone (732) 264-7755

Other identifiers 1

IdentifierTypeStateIssuer
CH4754OtherRAILROAD MEDICARE

Other names 1

  • Central Jersey Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

702 N Beers St
Ste 2
Holmdel, NJ 07733
Phone (732) 264-7755

Practitioners & affiliated clinicians

Practitioners 5

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": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1922066935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "07765",
            "telephone_number": "732-264-7755",
            "fax_number": "732-264-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BEERS ST",
            "address_2": "SUITE 2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331520",
            "telephone_number": "732-264-7755",
            "fax_number": "732-264-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY PULMONARY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-264-7755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Jersey Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.