NPIMap

Organization Active NPI

Rita U. Goradia, M.D. P.C.

  • Family Medicine Physician
  • Rahway, NJ
National Provider Identifier
1184856882
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA67142 Issued in NJ
Legal business name
RITA U. GORADIA, M.D. P.C.
Practice address
1128 Bryant St
Rahway, NJ 07065-3142
Phone
(732) 388-3006
Fax
(732) 388-9878
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Umesh B Goradia
Title
Office Manager
Phone
(732) 388-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA67142 NJ Primary

Addresses

Primary practice location

1128 Bryant St
Rahway, NJ 07065-3142

Mailing address

1128 Bryant St
Rahway, NJ 07065-3142
Phone (732) 388-3006

Other names 1

  • Harshem Family Practice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091217000135 NJ Part B Supplier - Clinic/Group Practice 0749320018 Receives reassigned benefits from 4 practitioners
Practice locations: Elizabeth, NJ; Rahway, NJ

National Provider Directory

National Provider Directory

Locations

1128 Bryant St
Rahway, NJ 07065
Phone (732) 388-3006

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1184856882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 BRYANT ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653142",
            "telephone_number": "732-388-3006",
            "fax_number": "732-388-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 BRYANT ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653142",
            "telephone_number": "732-388-3006",
            "fax_number": "732-388-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA U. GORADIA, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "GORADIA",
        "authorized_official_first_name": "UMESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-388-3006"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA67142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harshem Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.