Minding Miracles
Specialty details in registry · Port Monmouth, NJ
At a glance
405 Highway 36, Port Monmouth, NJ 07758-1323
NPPES record updated Apr 21, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
405 Highway 36Port Monmouth, NJ 07758-1323
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Oct 11, 2017
- Record updated
- Apr 21, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103K00000X · Primary
License reported: 1-15-19229 NJ
Specialty details in registry
261QA0600X
Specialty details in registry
385H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
405 Highway 36Port Monmouth, NJ 07758-1323
- Phone
- (732) 291-0810
- Fax
- (732) 291-0502
Mailing address
204 WILSON AVEPORT MONMOUTH, NJ 077581228
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue