Seos Medical Professional Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07968600 Issued in NJ

Legal business name

SEOS MEDICAL PROFESSIONAL ASSOCIATION

Practice address

184 Nathan Dr
Morganville, NJ 07751-2205

Phone

(718) 913-4433

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sanna Kalika, M.D.

Title

Owner

Phone

(718) 913-4433

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1134429905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 NATHAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512205",
            "telephone_number": "718-913-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 NATHAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512205",
            "telephone_number": "718-913-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEOS MEDICAL PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "SANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-913-4433",
        "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": "25MA07968600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080250",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Morganville, NJ
• Providers in Morganville, 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 Oct 27, 2010; 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.