Center for Primary Care & Gastroenterology LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA06520900 Issued in NJ

Legal business name

CENTER FOR PRIMARY CARE & GASTROENTEROLOGY LLC

Practice address

904 Oak Tree Ave
Suite D
South Plainfield, NJ 07080-5126

Phone

(908) 755-3688

Fax

(908) 755-3788

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Saket Prasad, MDNPI 1124132220

Title

Director

Phone

(908) 755-3688

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saket Prasad, M.D.

  • Gastroenterology Physician
  • Coudersport, PA
  • NPI 1124132220
  NPD (past) Authorized official
• Kalpana Prasad, M.D.

  • Internal Medicine Physician
  • Rahway, NJ
  • NPI 1174547020
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104988773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RENEE CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203634",
            "telephone_number": "732-494-0964",
            "fax_number": "908-755-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE",
            "address_2": "SUITE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "908-755-3688",
            "fax_number": "908-755-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PRIMARY CARE & GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SAKET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-755-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA06520900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7959508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Gastroenterology Physician in New Jersey

• 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.