MONMOUTH RADIOLOGISTS PA (NPI# 1316008782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316008782 |
| Entity Type | Organization |
| Organization Name | MONMOUTH RADIOLOGISTS PA |
| Practice Address |
279 Third Avenue # 403 Long Branch NJ 07740-5237 |
| Practice Telephone | 7322227676 |
| Practice Fax Number | 7322291863 |
| Mailing Telephone | 7322227676 |
| Mailing Fax Number | 7322291863 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL JOHN SMURO (PARTNER) |
| Authorized Official Telephone | 7322227676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2592207 | 05 |
| Street Address |
279 THIRD AVENUE # 403 |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301085 | Benjamin Cohen | Dermatology | 279 Third Avenue, Suite 603, Long Branch, NJ 07740-6205 | 2005-10-21 |
| 1780894428 | Dermatology and Laser Center Pa | Dermatology | 279 Third Avenue, Suite 603, Long Branch, NJ 07740-6205 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1194279786 | Syed Hussain | Radiology | 300 2nd Ave, Radiology, Long Branch, NJ 07740-6303 | 2016-08-11 |
| 1073830717 | Alexander B King | Radiology | Monmouth Medical Center, 300 Second Ave, Long Branch, NJ 07740 | 2010-04-20 |
| 1740489418 | Andrew Kwak | Radiology | 300 2nd Ave, Monmouth Medical Center - Department of Radiology, Long Branch, NJ 07740-6303 | 2007-07-13 |
| 1033281530 | Walter Rose | Radiology | 279 3rd Ave, Suite 403, Long Branch, NJ 07740-6205 | 2006-11-14 |
| 1407927296 | Daniel John Smuro | Radiology | 279 3rd Ave, 403, Long Branch, NJ 07740-6205 | 2006-11-13 |
| 1225109366 | Irving Stein | Radiology | 279 3rd Ave, Suite403, Long Branch, NJ 07740-6205 | 2006-11-12 |
| 1689681777 | Garden State Women's Imaging LLC | Radiology | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2006-08-02 |
| 1023023462 | Leizle Talangbayan | Radiology | 300 2nd Ave, Department of Radiology, Long Branch, NJ 07740-6303 | 2006-07-31 |
| 1447265897 | Jennifer Keedy | Radiology | 300 2nd Ave, Monmouth Medical Center, Long Branch, NJ 07740-6303 | 2006-07-31 |
| Find all providers in LONG BRANCH | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
Please comment or provide details below to improve the information on MONMOUTH RADIOLOGISTS PA.
| 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.