Central Jersey Medical Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA066554 Issued in NJ

Legal business name

CENTRAL JERSEY MEDICAL CARE, LLC

Practice address

1445 Whitehorse Mercerville Rd
Suite 108
Hamilton, NJ 08619-3834

Phone

(609) 586-3636

Fax

(609) 586-8770

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Shahzinah Nadeem, MD

Title

Owner

Phone

(609) 586-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1184843435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 108",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-586-3636",
            "fax_number": "609-586-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 108",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-586-3636",
            "fax_number": "609-586-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "SHAHZINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-586-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA066554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.