Provider Demographics
NPI:1982659553
Name:MCCAUGHAN, JAMES S (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:S
Last Name:MCCAUGHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 SCHANCK RD
Mailing Address - Street 2:SUITE A-20
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2964
Mailing Address - Country:US
Mailing Address - Phone:732-577-8558
Mailing Address - Fax:732-577-8553
Practice Address - Street 1:67 ROUTE 37 W
Practice Address - Street 2:RIVERWOOD BUILDING # 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6400
Practice Address - Country:US
Practice Address - Phone:732-577-8558
Practice Address - Fax:732-577-8553
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2013-02-07
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08195100208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG52969Medicare UPIN