Active NPI 1003881277 Individual Practitioner Male Practitioner

Dr. Thomas Rosser Lake , MD

Colon & Rectal Surgery • Oakhurst, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Lake, MD is a certified Colon & Rectal Surgery practicing in Oakhurst, NJ. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Lake delivers high-quality medical care to the local community at 255 MONMOUTH RD.

Dr. Lake is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of the anus using an endoscope, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

255 Monmouth Rd

Oakhurst, NJ 077551515

Telephone 7325315445

Fax 7325311776

Associated Practice Facility / Clinic

🏢 Shore Wellness Center, Inc. Facility NPI 1225018617

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Oakhurst, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -4.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Oakhurst, NJ (101 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lake (30 Years) 30 Yrs

Oakhurst Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	167	$300.89	$99.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	77	$190.43	$60.41
46600 Diagnostic examination of the anus using an endoscope	86	69	$406.40	$133.24
45378 Diagnostic exam of large bowel using a flexible endoscope	70	70	$1137.57	$199.90
15860 Injection of agent into vein to assess blood flow of skin graft or flap	66	61	$341.06	$60.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	52	$425.27	$142.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$370.94	$120.16
15734 Creation of muscle graft to trunk	45	20	$4876.00	$1126.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$551.22	$184.81
45300 Diagnostic examination of rectum and large bowel using an endoscope	38	37	$437.63	$26.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$726.33	$242.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$557.14	$187.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	25	$381.60	$128.20
11005 Removal of infected skin, tissue or muscle of abdomen	21	18	$2451.19	$838.65
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	20	20	$591.50	$200.97
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	20	20	$5833.81	$1969.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$1137.37	$201.84
44139 Release of large bowel from spleen and abdominal wall	17	14	$381.76	$129.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$596.15	$198.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$255.77	$85.48
46260 Removal of multiple hemorrhoid groups	12	12	$1593.75	$538.00
44120 Partial removal of small bowel	12	12	$3940.83	$851.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1515.45	$274.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	148	$308.67	$94.84
46600 Diagnostic examination of the anus using an endoscope	110	98	$441.73	$134.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	61	$434.11	$136.06
15860 Injection of agent into vein to assess blood flow of skin graft or flap	66	62	$353.94	$58.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	63	63	$743.25	$237.66
45378 Diagnostic exam of large bowel using a flexible endoscope	53	52	$1213.11	$195.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	37	$608.00	$191.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$634.00	$184.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	43	$197.61	$52.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	35	$237.33	$84.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$564.17	$179.30
45300 Diagnostic examination of rectum and large bowel using an endoscope	36	34	$465.42	$25.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	31	$344.71	$126.78
15734 Creation of muscle graft to trunk	31	16	$5043.71	$1100.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$383.57	$120.66
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	21	21	$612.62	$196.92
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	20	20	$6128.45	$1968.66
44139 Release of large bowel from spleen and abdominal wall	19	15	$399.21	$127.64
11006 Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen	16	16	$2293.75	$413.30
44120 Partial removal of small bowel	15	15	$4153.60	$926.31
49596 Initial repair of entrapped hernia of abdomen, more than 10 cm in length	15	15	$3352.97	$537.80
46260 Removal of multiple hemorrhoid groups	14	14	$1649.29	$528.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$1213.75	$196.06
44145 Partial removal of large bowel and reattachment to rectum	11	11	$5916.68	$1622.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	139	$233.35	$96.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	58	$259.17	$107.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$516.63	$241.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	57	$325.15	$139.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	51	$488.46	$210.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	39	$142.69	$40.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	37	$377.35	$197.16
45378 Diagnostic exam of large bowel using a flexible endoscope	48	48	$1206.77	$197.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	31	$130.00	$59.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$235.00	$75.47
15860 Injection of agent into vein to assess blood flow of skin graft or flap	27	27	$355.00	$59.32
46600 Diagnostic examination of the anus using an endoscope	26	26	$229.42	$142.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$401.60	$177.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$276.50	$121.73
99443 Telephone medical discussion with physician, 21-30 minutes	20	18	$223.50	$139.44
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	17	17	$584.41	$201.25
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	17	17	$6243.24	$1962.85
44139 Release of large bowel from spleen and abdominal wall	16	15	$451.56	$130.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$1205.36	$199.34
45300 Diagnostic examination of rectum and large bowel using an endoscope	12	12	$464.17	$25.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1618.18	$274.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	108	$185.00	$101.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	62	$100.00	$41.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	51	$225.00	$111.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	65	$350.00	$215.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$430.00	$244.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	35	$325.00	$196.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$275.00	$143.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$105.00	$62.69
99443 Telephone medical discussion with physician, 21-30 minutes	29	23	$155.17	$139.93
46600 Diagnostic examination of the anus using an endoscope	21	19	$147.62	$141.29
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1200.00	$191.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$350.00	$174.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1200.00	$203.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$230.00	$124.55
44204 Partial removal of large bowel using an endoscope	12	12	$5800.00	$1687.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1400.00	$203.98
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	11	11	$550.00	$203.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	113	$185.00	$82.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	84	$100.00	$42.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	74	$350.00	$218.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	31	$225.00	$113.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$430.73	$227.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$275.00	$117.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	32	$325.00	$157.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$105.00	$50.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$350.00	$180.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$1400.00	$206.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$230.00	$118.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1200.00	$205.67
46600 Diagnostic examination of the anus using an endoscope	13	13	$140.00	$118.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	164	$185.00	$79.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	170	106	$99.41	$40.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$430.00	$220.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$350.00	$209.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$105.00	$49.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$230.00	$116.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$275.00	$116.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	19	$225.00	$109.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$325.00	$156.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$350.00	$175.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	19	$150.00	$76.58
46600 Diagnostic examination of the anus using an endoscope	24	24	$140.00	$106.48
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$1200.00	$201.42
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$1200.00	$202.39
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	16	15	$450.00	$191.81
44139 Release of large bowel from spleen and abdominal wall	15	15	$475.00	$129.55
44140 Partial removal of large bowel	14	14	$4484.29	$1415.12
11006 Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen	13	12	$3000.00	$523.27
44145 Partial removal of large bowel and reattachment to rectum	13	13	$6500.00	$1805.09
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$965.00	$151.56
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$6500.00	$1956.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1400.00	$192.55
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	11	11	$550.00	$201.43
44120 Partial removal of small bowel	11	11	$4000.00	$718.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$144.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	166	$185.00	$77.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	117	$275.00	$115.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	55	$225.00	$109.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$430.98	$216.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	55	$301.72	$213.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	42	$150.00	$76.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$350.56	$175.32
15860 Injection of agent into vein to assess blood flow of skin graft or flap	41	40	$650.00	$60.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	31	$100.00	$41.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$325.00	$154.75
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$1200.00	$197.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$105.00	$47.46
45300 Diagnostic examination of rectum and large bowel using an endoscope	20	19	$400.00	$29.40
44139 Release of large bowel from spleen and abdominal wall	18	17	$475.00	$129.33
46600 Diagnostic examination of the anus using an endoscope	17	16	$140.00	$98.92
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	16	16	$6500.00	$1945.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$232.67	$115.68
45990 Diagnostic examination of anus and rectum under anesthesia	13	12	$300.00	$57.46
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	13	13	$550.00	$200.68
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	12	12	$450.00	$187.61
99283 Emergency department visit with low level of medical decision making	11	11	$500.00	$64.13
99284 Emergency department visit with moderate level of medical decision making	11	11	$850.00	$121.76
44204 Partial removal of large bowel using an endoscope	11	11	$5905.45	$1667.17
44145 Partial removal of large bowel and reattachment to rectum	11	11	$6736.36	$1797.82
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$3000.00	$622.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	161	$160.85	$78.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	177	94	$100.00	$41.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	112	$228.60	$114.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$430.00	$218.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	52	$301.98	$154.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$354.23	$174.63
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	38	11	$325.00	$80.19
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$1200.00	$196.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$255.61	$143.67
99284 Emergency department visit with moderate level of medical decision making	24	22	$750.00	$122.11
46600 Diagnostic examination of the anus using an endoscope	20	20	$140.00	$97.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$230.00	$115.78
11006 Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen	18	16	$3000.00	$419.16
45300 Diagnostic examination of rectum and large bowel using an endoscope	15	15	$400.00	$136.13
44139 Release of large bowel from spleen and abdominal wall	15	15	$475.00	$130.38
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	15	15	$6500.00	$1959.75
49560 Repair of incisional or abdominal hernia	14	12	$3500.00	$460.90
45300 Diagnostic examination of rectum and large bowel using an endoscope	14	14	$400.00	$29.51
44120 Partial removal of small bowel	14	14	$4057.14	$936.39
15860 Injection of agent into vein to assess blood flow of skin graft or flap	14	14	$650.00	$58.82
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$965.00	$144.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1400.00	$201.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$150.00	$75.77
45990 Diagnostic examination of anus and rectum under anesthesia	13	13	$300.00	$58.11
44140 Partial removal of large bowel	12	12	$4515.00	$1486.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1600.00	$261.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$96.67	$47.12
44143 Partial removal of large bowel with creation of opening	11	11	$5500.00	$1794.37
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$200.00	$106.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$212.97

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License NJ 25MA07084700

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Phone: 5519965045

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Jeffrey Lin , MD

Surgery

NPI 1255641197

Doctor of Medicine (M.D.)

Dr. Glenn Parker , MD

Colon & Rectal Surgery

NPI 1568437739

Doctor of Medicine (M.D.)

Denise Handy-Burnham , NP

Nurse Practitioner - Critical Care Medicine

NPI 1598730038

Nurse Practitioner

Nicole Lupo , PA-C

Surgery

NPI 1639699713

Physician Assistant (Certified)

Dr. Mark Schwartz , MD

Surgery

NPI 1760453567

Doctor of Medicine (M.D.)

Dr. Stephen Klepner , DO

Surgery

NPI 1861871287

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2013

Registered at 255 MONMOUTH RD, OAKHURST, NJ 077551515 (Tel: 7325315445)

📍

Updated Business Mailing Address February 04, 2013

Registered at 255 MONMOUTH RD, OAKHURST, NJ 077551515 (Tel: 7325315445)

👤

Provider Name / Credentials Updated February 04, 2013

Recorded as THOMAS LAKE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2013

Colon & Rectal Surgery (License #25MA07084700 in NJ)

🟢

Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003881277

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 21, 2006

Last Update: February 04, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

255 Monmouth Rd

Oakhurst, NJ 077551515

Phone: 7325315445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.