NPIMap

Organization Active NPI

Med Practice LLC

  • General Acute Care Hospital
  • Hillsborough, NJ
National Provider Identifier
1114149705
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
MA084978 Issued in NJ
Legal business name
MED PRACTICE LLC
Practice address
12 Bernart CT
Hillsborough, NJ 08844-8703
Phone
(732) 823-7373
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Renukamba GubbiNPI 1255363719
Title
Director
Phone
(732) 823-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MA084978 NJ Primary

Addresses

Primary practice location

12 Bernart CT
Hillsborough, NJ 08844-8703

Mailing address

12 Bernart CT
Hillsborough, NJ 08844-8703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1114149705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BERNART CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BERNART CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448703",
            "telephone_number": "732-823-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "GUBBI",
        "authorized_official_first_name": "RENUKAMBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-823-7373",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "MA084978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.