Organization Active NPI

Prohealth Medical Associates LLC

  • Internal Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1124320544
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07300900 Issued in NJ
Legal business name
PROHEALTH MEDICAL ASSOCIATES LLC
Practice address
408 Bethel Road
Suite C-2
Somers Point, NJ 08244-2172
Phone
(609) 926-6900
Fax
(609) 926-6995
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mr. Narsimha R Rangaraj, MD
Title
Internal Medicine
Phone
(609) 926-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07300900 NJ Primary

Addresses

Primary practice location

408 Bethel Road
Suite C-2
Somers Point, NJ 08244-2172

Mailing address

408 Bethel Rd
Suite C 2
Somers Point, NJ 08244-2172
Phone (609) 926-6900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1124320544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BETHEL RD",
            "address_2": "SUITE C 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-6900",
            "fax_number": "609-926-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BETHEL ROAD",
            "address_2": "SUITE C-2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442172",
            "telephone_number": "609-926-6900",
            "fax_number": "609-926-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "RANGARAJ",
        "authorized_official_first_name": "NARSIMHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "609-926-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07300900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.