Monmouth Infectious Disease Associates, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07808400 Issued in NJ

Legal business name

MONMOUTH INFECTIOUS DISEASE ASSOCIATES, LLC

Practice address

223 Drum Point Rd
Brick, NJ 08723-6311

Phone

(718) 819-2920

Fax

(718) 307-6434

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ajay N. Mathur, M.D.NPI 1053357947

Title

President

Phone

(718) 819-2920

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Ajay N Mathur, M.D.

  • Infectious Disease Physician
  • Oakhurst, NJ
  • NPI 1053357947
  NPD (past) Authorized official
• Sukrut Dwivedi, D.O.

  • Infectious Disease Physician
  • Oakhurst, NJ
  • NPI 1003082660
  NPD (past)
• Andrew Lee, M.D.

  • Infectious Disease Physician
  • Oakhurst, NJ
  • NPI 1619904216
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1922279710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 DRUM POINT RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236311",
            "telephone_number": "718-819-2920",
            "fax_number": "718-307-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 DRUM POINT RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236311",
            "telephone_number": "718-819-2920",
            "fax_number": "718-307-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH INFECTIOUS DISEASE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-819-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07808400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Arielle Mok, AUD
• Amy Marie Moll, PHARMD, CCP
• Nga Nguyen Molte, MD
• Monmouth Healthcare Services
• Monmouth Healthcare Services, LLC
• Monmouth Integrative Counseling of Brick, LLC
• Monmouth Ocean Medical Services, LLC
• Karyn M Montgomery, M.D.
• David Francis Moore, M.D., PH.D., FAAN
• Ali R Moosvi, M.D.

• Specialist in Brick, NJ
• Providers in Brick, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.