Organization Active NPI

East Jersey Health Care Services LLC

  • Internal Medicine Physician
  • Rahway, NJ
National Provider Identifier
1114661584
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST JERSEY HEALTH CARE SERVICES LLC
Doing business as
East Jersey Health Care Services LLC
Practice address
2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone
(908) 232-2273
Fax
(908) 232-1439
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Mr. Kamran Tasharofi, MDNPI 1174595466
Title
Owner
Phone
(908) 232-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2005 Saint Georges Ave
Rahway, NJ 07065-2007

Mailing address

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (908) 232-2273

Other names 1

  • East Jersey Health Care Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1114661584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652007",
            "telephone_number": "908-232-2273",
            "fax_number": "908-232-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652007",
            "telephone_number": "908-232-2273",
            "fax_number": "908-232-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST JERSEY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "TASHAROFI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-232-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Jersey Health Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.