Active NPI
Elizabeth Bayway Medical Center, LLC
- Emergency Medicine Physician
- Elizabeth, NJ
National Provider Identifier
1083960249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA079138
- Legal business name
- ELIZABETH BAYWAY MEDICAL CENTER, LLC
- Practice address
- 636 Bayway Ave
Elizabeth, NJ 07202-2613 - Phone
- (908) 994-1900
- Fax
- (908) 994-0900
- NPI assigned
- Jul 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keyur Ajbani, M.D.
- Title
- Owner
- Phone
- (908) 994-1900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA079138 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
636 Bayway Ave
Elizabeth, NJ 07202-2613
Mailing address
636 Bayway Ave
Elizabeth, NJ 07202-2613
Phone (908) 994-1900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346371200000",
"number": "1083960249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 BAYWAY AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072022613",
"telephone_number": "908-994-1900",
"fax_number": "908-994-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 BAYWAY AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072022613",
"telephone_number": "908-994-1900",
"fax_number": "908-994-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH BAYWAY MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-25",
"last_updated": "2012-08-31",
"status": "A",
"authorized_official_last_name": "AJBANI",
"authorized_official_first_name": "KEYUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-994-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA079138",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
- Elina Eksarko-Bilbili, FNP
- Eldercare of Elizabeth
- Eli Finkelstein MD Associates P.C.
- Elizabeth Avenue Dental Ctr
- Elizabeth Avenue Dentistry, PC
- Elizabeth Center for Family Medicine PC
- Elizabeth Center for Sleep and TMJ Wellness
- Elizabeth Chemists Inc
- Elizabeth Chiropractic & Rehab, PA
- Elizabeth Coalition to House the Homeless
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.