Main Street Medical Group LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MAIN STREET MEDICAL GROUP LLC

Practice address

199 Main St
Suite 200
Keansburg, NJ 07734-1768

Phone

(732) 787-3456

Fax

(888) 251-1086

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Palmieri

Title

Owner/Manager

Phone

(646) 335-5140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1922499060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "address_2": "SUITE 200",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341768",
            "telephone_number": "732-787-3456",
            "fax_number": "888-251-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "address_2": "SUITE 200",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341768",
            "telephone_number": "732-787-3456",
            "fax_number": "888-251-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "646-335-5140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Art Lee, PHARM.D., R.PH., CCP
• Valerie A Lester
• Lets Go Behavior Consulting
• Yaffa Liebermann, PT
• Joji Christy Alvarado Lim
• Muinat Adefuyi Maliki
• Kelley McAvoy
• Nadia Merced
• Saara Kyllikki Nieminen-Cisneros, DMD
• Victoria Rose Nieto, OPHTHALMIC DISPENSER

• Cardiovascular Disease Physician in Keansburg, NJ
• Providers in Keansburg, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.