Organization Active NPI

Sima S. Pandey, MD, LLC

  • Primary Care Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1003013624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0600-2867-03 Issued in NJ
Legal business name
SIMA S. PANDEY, MD, LLC
Practice address
725 N Broad St
Elizabeth, NJ 07208-2347
Phone
(908) 351-8989
Fax
(908) 351-8879
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sima Suresh Pandey, M.D.
Title
Ceo
Phone
(908) 351-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0600-2867-03 NJ Primary

Addresses

Primary practice location

725 N Broad St
Elizabeth, NJ 07208-2347

Mailing address

725 N Broad St
Elizabeth, NJ 07208-2347
Phone (908) 351-8989

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003013624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMA S. PANDEY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "SIMA",
        "authorized_official_middle_name": "SURESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-351-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "0600-2867-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.