NPIMap

Organization Active NPI

Middlesex Community Medicalcare, LLC

  • Medical Specialty Clinic/Center
  • Middlesex, NJ
National Provider Identifier
1114173028
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA08109500 Issued in NJ
Legal business name
MIDDLESEX COMMUNITY MEDICALCARE, LLC
Practice address
530 Union Ave
Suite #2
Middlesex, NJ 08846-1934
Phone
(732) 667-3287
Fax
(732) 667-3289
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Geeta Yalamanchi, M.D.
Title
President
Phone
(732) 667-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA08109500 NJ Primary

Addresses

Primary practice location

530 Union Ave
Suite #2
Middlesex, NJ 08846-1934

Mailing address

530 Union Ave
Suite #2
Middlesex, NJ 08846-1934
Phone (732) 667-3287

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1114173028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 UNION AVE",
            "address_2": "SUITE #2",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461934",
            "telephone_number": "732-667-3287",
            "fax_number": "732-667-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 UNION AVE",
            "address_2": "SUITE #2",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461934",
            "telephone_number": "732-667-3287",
            "fax_number": "732-667-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX COMMUNITY MEDICALCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHI",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-667-3287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08109500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.