Provider Demographics
NPI:1033200159
Name:MONMOUTH NEONATAL GROUP, PA
Entity Type:Organization
Organization Name:MONMOUTH NEONATAL GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALEMANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-923-7791
Mailing Address - Street 1:255 THIRD AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6206
Mailing Address - Country:US
Mailing Address - Phone:732-923-7791
Mailing Address - Fax:732-870-3576
Practice Address - Street 1:255 THIRD AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6206
Practice Address - Country:US
Practice Address - Phone:732-923-7791
Practice Address - Fax:732-870-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3452603Medicaid