Central Jersey Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL JERSEY MEDICAL ASSOCIATES, LLC

Practice address

1151 W Main St
Freehold, NJ 07728-7943

Phone

(732) 202-1000

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Pam McCabe

Title

Credentialing Manager

Phone

(848) 444-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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

• Ayesha Chaudhary, MD

  • Internal Medicine Physician
  • Freehold, NJ
  • NPI 1376659037
  Medicare reassignment Care Compare group NPD
• Nermin Aly, APRN

  • Family Nurse Practitioner
  • New Brunswick, NJ
  • NPI 1184486193
  Medicare reassignment Care Compare group
• Victoria Ann Noto, NP

  • Gerontology Nurse Practitioner
  • Freehold, NJ
  • NPI 1639680283
  Medicare reassignment Care Compare group
• Joseph K Kannadan, NP

  • Acute Care Nurse Practitioner
  • Somerville, NJ
  • NPI 1235884875
  Medicare reassignment NPD

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1992454722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COZY DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287943",
            "telephone_number": "732-202-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "848-444-9800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Bariatrics, LLC
• Central Jersey Emergency Medicine Associates, PC
• Central Jersey Emergency Medicine Asst.
• Central Jersey Gastroenterology Associates PA
• Central Jersey Hand Surgery
• Central Jersey Neurology Associates, P.a.
• Central Jersey Psychological Services, LLC
• Central Jersey Rehab Associates P.C.
• Central Jersey Rehabilitation Medicine, LLC
• Central Jersey Spine & Wellness L L C

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.