Provider Demographics
NPI:1811981780
Name:MONROE, BEATRICE (MD)
Entity type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COURTER LN
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3043
Mailing Address - Country:US
Mailing Address - Phone:973-887-0116
Mailing Address - Fax:
Practice Address - Street 1:3 COURTER LN
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3043
Practice Address - Country:US
Practice Address - Phone:973-887-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05984900207P00000X, 207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6924301Medicaid
NJ17994OtherUHP NON PAR #
NJ184354XZMMedicare PIN
NJ184354UXKMedicare PIN
NJ138820DPLMedicare PIN
NJ184354UXLMedicare PIN
NJ184354UWXMedicare PIN
NJF67220Medicare UPIN
NJ184354UWYMedicare PIN
NJ184354CLDMedicare PIN
NJ138820TM8Medicare PIN
NJ17994OtherUHP NON PAR #