Monmouth Advanced Medicine LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

38MC00395200 Issued in NJ

Legal business name

MONMOUTH ADVANCED MEDICINE LLC

Practice address

503 Stillwells Corner Rd
Freehold, NJ 07728

Phone

(732) 308-0099

Fax

(732) 308-0347

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Steven Marc Zodkoy, D.C.NPI 1932251352

Title

Owner

Phone

(732) 308-0099

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Marc Zodkoy, D.C.

  • Nutrition Chiropractor
  • Freehold, NJ
  • NPI 1932251352
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1922150358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 STILLWELLS CORNER RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-308-0099",
            "fax_number": "732-308-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 STILLWELLS CORNER RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-308-0099",
            "fax_number": "732-308-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH ADVANCED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ZODKOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-308-0099",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00395200",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00271700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jaye Molee, D.M.D.
• Lisa Harmon Mollicone, MA,, LCADC, ICPS CJC
• Carol Monaci, PHD
• Monarch Therapy Services, LLC
• Lucinda M Monica, PSYD
• Monmouth County Division of Social Services
• Monmouth County Office on Aging
• Monmouth Family Medicine Group, P.a.
• Monmouth Ocean Pulmonary Medicine, LLC
• Monmouth Schroth Scoliosis Physical Therapy LLC

• Nutrition Chiropractor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Nutrition Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.