Organization Active NPI

Convena Care

  • Internal Medicine Physician
  • Somerville, NJ
National Provider Identifier
1043962640
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONVENA CARE
Practice address
92 E Main St Ste 405
Somerville, NJ 08876-2319
Phone
(908) 895-6969
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Dr. Ashraf Nashed, MD
Title
Ceo
Phone
(908) 892-9662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

92 E Main St Ste 405
Somerville, NJ 08876-2319

Mailing address

10 Swackhamer Rd
Whitehouse Station, NJ 08889-3025
Phone (908) 892-9662

National Provider Directory

National Provider Directory

Locations

92 E Main St
Ste 405
Somerville, NJ 08876
Phone (908) 892-9662

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25661/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1043962640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SWACKHAMER RD",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893025",
            "telephone_number": "908-892-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST STE 405",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762319",
            "telephone_number": "908-895-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "NASHED",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-892-9662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.