Provider Demographics
NPI:1497200943
Name:CARTERET COMPREHENSIVE MEDICAL CARE, P.C.
Entity Type:Organization
Organization Name:CARTERET COMPREHENSIVE MEDICAL CARE, P.C.
Other - Org Name:MONROE COMPREHENSIVE MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:732-251-5200
Mailing Address - Street 1:320 SPOTSWOOD ENGLISHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8651
Mailing Address - Country:US
Mailing Address - Phone:732-251-5200
Mailing Address - Fax:732-251-5227
Practice Address - Street 1:320 SPOTSWOOD ENGLISHTOWN RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-8651
Practice Address - Country:US
Practice Address - Phone:732-251-5200
Practice Address - Fax:732-251-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083165Medicare PIN