Healthcare Provider Details

I. General information

NPI: 1962463059
Provider Name (Legal Business Name): JAMES J. MONKS, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 BAYBERRY DR
SADDLE RIVER NJ
07458-2610
US

IV. Provider business mailing address

PO BOX 374
SADDLE RIVER NJ
07458-0374
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-4313
  • Fax: 201-236-8630
Mailing address:
  • Phone: 201-447-4313
  • Fax: 201-236-8630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number23594
License Number StateNJ

VIII. Authorized Official

Name: DR. JAMES J MONKS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 201-447-4313