SD Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SD MEDICAL CORP

Practice address

2 American Way
Spotswood, NJ 08884-1262

Phone

(732) 416-0065

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Samir PatelNPI 1588659296

Title

Partner

Phone

(732) 521-8071

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samir G Patel, MD

  • Internal Medicine Physician
  • Spotswood, NJ
  • NPI 1588659296
  Medicare reassignment Care Compare group NPD Authorized official
• Irina Efraimovich, APN

  • Adult Health Nurse Practitioner
  • Maplewood, NJ
  • NPI 1124348354
  Medicare reassignment Care Compare group NPD
• Deepa Samir Patel, M.D.

  • Internal Medicine Physician
  • Spotswood, NJ
  • NPI 1134225162
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1295861466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DIPIERRO DR.",
            "city": "MONROE TWP.",
            "state": "NJ",
            "postal_code": "08831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AMERICAN WAY",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841262",
            "telephone_number": "732-416-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-521-8071"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis W Powell, RPH
• Powerarm Adult Care
• Zachary David Rodriguez, ATC, CSCS
• Sushma Sahni, MD
• Abraham Kalman Schreiber
• Mubina Shah, M.D.
• Stephanie Shamin
• Shape to Success
• Shoprite Supermarkets, Inc
• Alexander Shraga, MD, MPH

• Internal Medicine Physician in Spotswood, NJ
• Providers in Spotswood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.