P.G. Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA55303 Issued in NJ

Legal business name

P.G. MEDICAL ASSOCIATES PA

Practice address

31 Seven Bridges Rd
Little Silver, NJ 07739-1634

Phone

(732) 741-4668

Fax

(732) 219-1681

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rao S Gourkanti, M.D.

Title

President

Phone

(732) 741-4668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Seeteram Rao Gourkanti, MD

  • Internal Medicine Physician
  • Little Silver, NJ
  • NPI 1881630028
  Medicare reassignment NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1124154968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391634",
            "telephone_number": "732-741-4668",
            "fax_number": "732-219-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEVEN BRIDGES RD",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391634",
            "telephone_number": "732-741-4668",
            "fax_number": "732-219-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.G. MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "GOURKANTI",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-741-4668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074047",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4620305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Margolies, DMD, PA
• Rebecca Norton, RN
• Carol Ann Oberle, LCSW
• Tamara Odell, D.O.
• Mary Ostrowski, RD
• John Henry Panko
• Parker Creek Neurorehabilitation
• Mona Patel, DNP, FNP-C
• Stacy Lynn Paul, LCSW
• Matthew David Pecoraro, PT, DPT

• Internal Medicine Physician in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.