Organization Active NPI

Neeraj Enterprises LLC

  • Internal Medicine Physician
  • London, KY
National Provider Identifier
1114473345
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEERAJ ENTERPRISES LLC
Practice address
1374 Hwy 192 Bypass
Suite 3
London, KY 40741-3123
Phone
(606) 599-0864
Fax
(606) 599-0869
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Janice Combs
Title
Administrator
Phone
(606) 599-0864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1374 Hwy 192 Bypass
Suite 3
London, KY 40741-3123

Mailing address

PO Box 628
Manchester, KY 40962-0628
Phone (606) 599-0864

Other names 1

  • MD Express Care 365 Doing business as

National Provider Directory

National Provider Directory

Locations

1374 Highway 192 E
Ste 3
London, KY 40741
Phone (606) 599-0864

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1114473345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409620628",
            "telephone_number": "606-599-0864",
            "fax_number": "606-599-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 HWY 192 BYPASS",
            "address_2": "SUITE 3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413123",
            "telephone_number": "606-599-0864",
            "fax_number": "606-599-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEERAJ ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-599-0864"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Express Care 365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.