Mid Jersey Medical Associates, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA061302 Issued in NJ

Legal business name

MID JERSEY MEDICAL ASSOCIATES, PA

Practice address

1 Ethel Rd
Suite 107B
Edison, NJ 08817-2838

Phone

(732) 287-2020

NPI assigned

Sep 20, 2006

Last updated

Sep 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Machia Uthappa, MDNPI 1124098678

Title

Owner

Phone

(732) 287-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Machia Uthappa, MD

  • Internal Medicine Physician
  • Edison, NJ
  • NPI 1124098678
  Medicare reassignment Authorized official
• Harry Collins, MD

  • Adult Medicine Physician
  • Edison, NJ
  • NPI 1922078377
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1184722431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 107B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-287-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ETHEL RD",
            "address_2": "SUITE 107B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172838",
            "telephone_number": "732-287-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID JERSEY MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "UTHAPPA",
        "authorized_official_first_name": "MACHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-287-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA061302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1124098678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7894406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Euginia Mgidi, OTD
• Alvin Francis Micabalo, D.O.
• Michael S. Lax PSYD LLC
• Banoub Michael, MD
• Meray Sameh Michael, M.D.
• Mid-State Radiation Oncology Associates, P. a.
• Middlesex Acupuncture LLC
• Middlesex Cardiac Diagnostic Center
• Middlesex County Improvement Authority (Roosevelt Care Center)
• Middlesex County Improvement Authority (Barbara E. Cheung Memorial Hospice)

• Primary Care Clinic/Center in Edison, NJ
• Providers in Edison, 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 Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.