KRETOV MEDICAL ARTS LLC (NPI# 1154505907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505907 |
| Entity Type | Organization |
| Organization Name | KRETOV MEDICAL ARTS LLC |
| Practice Address |
230 Neptune Blvd 2 Nd Floor Neptune NJ 07753-4489 |
| Mailing Address |
230 Neptune Blvd Neptune NJ 07753-4481 |
| Practice Telephone | 7324142005 |
| Practice Fax Number | 7324142006 |
| Mailing Telephone | 7324142005 |
| Mailing Fax Number | 7324142006 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | ALEKSEY KRETOV (PHYSICIAN) |
| Authorized Official Telephone | 7324142005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA08294000 | NJ | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
25MA08294000 | NJ | Ambulatory Health Care Facilities |
| Street Address |
230 NEPTUNE BLVD 2 ND FLOOR |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669442935 | Susan Elizabeth Dick | Family Medicine | 230 Neptune Blvd, Neptune, NJ 07753-4433 | 2006-01-26 |
| 1508357922 | Elizabeth A. Costanza | Nurse Practitioner | 230 Neptune Blvd, Neptune, NJ 07753-4481 | 2018-05-21 |
| 1447320759 | Empire Chiropractic Center, LLC | Chiropractor | 230 Neptune Blvd, Neptune, NJ 07753-4433 | 2006-11-08 |
| 1427099415 | Matthew Evan Dutka | Chiropractor | 230 Neptune Blvd, Suite 103, Neptune, NJ 07753-4433 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1275097255 | Health Check of Nj LLC | Clinic/Center | 160 Lanza Ave Ste 8, Garfield, NJ 07026-3551 | 2019-01-24 |
| 1164996591 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 1000 Harbor Blvd, Weehawken, NJ 07086-6761 | 2019-01-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.