Hillsborough Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HILLSBOROUGH INTERNAL MEDICINE

Practice address

491 Amwell Road
Suite 200
Hillsborough, NJ 08844

Phone

(908) 428-4840

Fax

(908) 281-0336

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yanto Meiyer Gultom, M.D.NPI 1851444228

Title

Ceo

Phone

(908) 428-4840

Specialties & licenses 1

Addresses

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.

• Yanto Meiyer Gultom, MD

  • Internal Medicine Physician
  • Hillsborough, NJ
  • NPI 1851444228
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144345182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 TIMBERHILL DRIVE",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-940-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 AMWELL ROAD",
            "address_2": "SUITE 200",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-428-4840",
            "fax_number": "908-281-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GULTOM",
        "authorized_official_first_name": "YANTO",
        "authorized_official_middle_name": "MEIYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-428-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillsboro Pharmacy LLC
• Hillsborough Comprehensive Dental Care
• Hillsborough Denatl Center
• Hillsborough Eye Care PC
• Hillsborough Infectious Diseases Medicine Practice
• Hillsborough Massage Therapy LLC
• Hillsborough Medical Associates, PA
• Hillsborough Optical Shoppe
• Hillsborough Pediatrics, P.C.
• Hillsborough Physical Therapy, PA

• Primary Care Clinic/Center in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.