Provider Demographics
NPI:1528052446
Name:CENTRAL JERSEY HAND SURGERY
Entity type:Organization
Organization Name:CENTRAL JERSEY HAND SURGERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-542-4477
Mailing Address - Street 1:234 INDUSTRIAL WAY W STE 200
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-4245
Mailing Address - Country:US
Mailing Address - Phone:732-542-4477
Mailing Address - Fax:732-935-0355
Practice Address - Street 1:234 INDUSTRIAL WAY W
Practice Address - Street 2:BUILDING 2, SUITE 200
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-4245
Practice Address - Country:US
Practice Address - Phone:732-542-4477
Practice Address - Fax:732-935-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X51334Medicare UPIN
NJ038934Medicare PIN
NJ4739900001Medicare NSC