NPIMap

Organization Active NPI

Monmouth Medical Center

  • Student in an Organized Health Care Education/Training Program
  • Long Branch, NJ
National Provider Identifier
1992900948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
MONMOUTH MEDICAL CENTER
Practice address
300 2ND Ave
Monmouth Medical Center
Long Branch, NJ 07740-6303
Phone
(732) 923-6537
Fax
(732) 923-6536
NPI assigned
Jun 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sarah L Wallach, M.D
Title
Residency Program Director
Phone
(732) 923-6537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

300 2ND Ave
Monmouth Medical Center
Long Branch, NJ 07740-6303

Mailing address

6 Alton Way
Scotch Plains, NJ 07076-2858
Phone (908) 753-8793

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Dept Monmouth9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992900948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ALTON WAY",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762858",
            "telephone_number": "908-753-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "address_2": "MONMOUTH MEDICAL CENTER",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-6537",
            "fax_number": "732-923-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESIDENCY PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "732-923-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.