Hamilton Internal Medicine LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA07092800 Issued in NJ

Legal business name

HAMILTON INTERNAL MEDICINE LLC

Doing business as

Hamilton Internal Medicine

Practice address

2055 Klockner Rd
Trenton, NJ 08690-3413

Phone

(609) 586-8996

NPI assigned

Mar 17, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Hamilton Internal Medicine Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sofia Mavasheva

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1851345995
  NPD

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1003232851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KLOCKNER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903413",
            "telephone_number": "609-586-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON INTERNAL MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA07092800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Hussein Hamdy, MBBCH
• Hamilton Amop, LLC
• Hamilton Elite Care Center LLC
• Hamilton Foot Solutions, LLC
• Hamilton Hospitalists, LLC
• Hamilton Internal Medicine, LLC
• Hamilton Square Emergency Medical Associates LLC
• Hamilton Trenton Urgent Care Center, LLC
• Hands & Hands Home Health Care
• Mary Michele Hanes, APN

• Non-Pharmacy Dispensing Site in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.