Provider Demographics
NPI:1962463059
Name:JAMES J. MONKS, MD, PA
Entity Type:Organization
Organization Name:JAMES J. MONKS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MONKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-447-4313
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-0374
Mailing Address - Country:US
Mailing Address - Phone:201-447-4313
Mailing Address - Fax:201-236-8630
Practice Address - Street 1:26 BAYBERRY DR
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-2610
Practice Address - Country:US
Practice Address - Phone:201-447-4313
Practice Address - Fax:201-236-8630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23594174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2687003Medicaid
NJ2687003Medicaid
NJC52711Medicare UPIN