Provider Demographics
NPI:1407255045
Name:CENTRAL JERSEY HAND SURGERY
Entity Type:Organization
Organization Name:CENTRAL JERSEY HAND SURGERY
Other - Org Name:NEW JERSEY HAND SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-542-4477
Mailing Address - Street 1:2 INDUSTRIAL WAY W
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2265
Mailing Address - Country:US
Mailing Address - Phone:732-542-4477
Mailing Address - Fax:732-935-0355
Practice Address - Street 1:535 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5301
Practice Address - Country:US
Practice Address - Phone:732-462-7700
Practice Address - Fax:732-431-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO4833900261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0432105Medicaid
NJ5519501Medicaid
NJ2371707Medicaid
NJ7992505Medicaid
NJ0103667Medicaid
NJ0432105Medicaid
NJ0103667Medicaid
NJ7992505Medicaid
NJE55118Medicare UPIN
NJ5519501Medicaid