Active NPIOrganization

Monmouth Rejuvenation, LLC

Internal Medicine in Eatontown, New Jersey

NPI Number1639594609
Practice location
40 Broad St, Eatontown, NJ 07724-1553
Fax
—
Last updated
February 26, 2014

Monmouth Rejuvenation, LLC is a healthcare organization based in Eatontown, NJ. Monmouth Rejuvenation, LLC practices in Eatontown, NJ. The NPI Number for Monmouth Rejuvenation, LLC is 1639594609 and holds a License No. 25MA04251200 (NJ). The current practice location address for Monmouth Rejuvenation, LLC is 40 Broad St, Eatontown, NJ 07724-1553 and can be reached out via phone at 201-803-3986.

Provider Profile Details

NPI Number
1639594609
Provider Name
Monmouth Rejuvenation, LLC
Provider Entity Type
Organization
Address
40 Broad St, Eatontown, NJ 07724-1553
Phone Number
201-803-3986
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Eugene Desimone, MD · Owner · 201-803-3986
Provider Enumeration Date
February 26, 2014
Last Update Date
February 26, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Broad St
Eatontown, NJ 07724-1553
Zip
07724-1553
Phone Number
201-803-3986
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
40 Broad St
Eatontown, NJ 07724-1553
City
Eatontown
State
NJ
Zip
07724-1553
Phone Number
201-803-3986

License Information

License Number
25MA04251200
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Monmouth Rejuvenation, LLC?

The NPI number of Monmouth Rejuvenation, LLC is 1639594609. It was assigned on February 26, 2014 and is currently active in the NPPES registry.

What is the specialty of Monmouth Rejuvenation, LLC?

Monmouth Rejuvenation, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA04251200.

Where does Monmouth Rejuvenation, LLC practice?

The practice location is 40 Broad St, Eatontown, NJ 07724-1553. The office can be reached at 201-803-3986 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639594609 directly on the NPPES registry website.

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