Organization Active NPI

Radium Healthcare Professional Associates

  • Infectious Disease Physician
  • Elizabeth, NJ
National Provider Identifier
1255607289
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA08944900 Issued in NJ
Legal business name
RADIUM HEALTHCARE PROFESSIONAL ASSOCIATES
Practice address
700 N Broad St
Suite LL3
Elizabeth, NJ 07208-2310
Phone
(908) 469-1500
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Rita U. Goradia, M.D.
Title
Physician
Phone
(908) 469-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 25MA08944900 NJ Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 25MA02888800 NJ

Addresses

Primary practice location

700 N Broad St
Suite LL3
Elizabeth, NJ 07208-2310

Mailing address

700 N Broad St
Suite LL3
Elizabeth, NJ 07208-2310

National Provider Directory

National Provider Directory

Locations

700 N Broad St
Ste LL3
Elizabeth, NJ 07208
Phone (908) 469-1500

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1255607289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BROAD ST",
            "address_2": "SUITE LL3",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BROAD ST",
            "address_2": "SUITE LL3",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082310",
            "telephone_number": "908-469-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUM HEALTHCARE PROFESSIONAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "GORADIA",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-469-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08944900",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA02888800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.