Healthcare Provider Details

I. General information

NPI: 1801077516
Provider Name (Legal Business Name): JAMES J. MONKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 11/21/2007
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 Code208600000X
TaxonomySurgery Physician
License Number23594
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: