Organization Active NPI

Gerald E Pflum MD PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Neptune, NJ
National Provider Identifier
1942423538
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25MA032941 Issued in NJ
Legal business name
GERALD E PFLUM MD PA
Practice address
444 Neptune Blvd
Unit 12
Neptune, NJ 07753-4121
Phone
(732) 775-1301
Fax
(732) 775-0507
NPI assigned
Apr 11, 2007
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Mrs. Evelyn A Pflum, RN
Title
Corporation Secretary
Phone
(732) 775-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25MA032941 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd
Unit 12
Neptune, NJ 07753-4121

Mailing address

444 Neptune Blvd
Unit 12
Neptune, NJ 07753-4121
Phone (732) 775-1301

Other identifiers 8

IdentifierTypeStateIssuer
0049667OtherNJAETNA
0094161OtherNJGHI
F02133OtherNJHEALTHNET OF THE NORTHEAS
MS249OtherNJOXFORD
2003902MedicaidNJ
0004093717OtherNJAETNA HMO
0441233000OtherNJAMERIHEALTH
32249OtherNJEMPIRE BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000785 NJ Part B Supplier - Clinic/Group Practice 4688733488 Receives reassigned benefits from 1 practitioner
Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Locations

444 Neptune Blvd
Unit 12
Neptune, NJ 07753
Phone (732) 775-1301

Practitioners & affiliated clinicians

Practitioners 2

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1942423538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "UNIT 12",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534121",
            "telephone_number": "732-775-1301",
            "fax_number": "732-775-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "UNIT 12",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534121",
            "telephone_number": "732-775-1301",
            "fax_number": "732-775-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD E PFLUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "PFLUM",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "732-775-1301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA032941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0049667",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0094161",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF THE NORTHEAS",
            "identifier": "F02133",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "MS249",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003902",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0004093717",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0441233000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BS",
            "identifier": "32249",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.