Complete Primary Care, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA079401 Issued in NJ

Legal business name

COMPLETE PRIMARY CARE, P.A.

Practice address

1810 Park Ave
South Plainfield, NJ 07080-5522

Phone

(908) 226-1810

Fax

(908) 226-1833

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rabin Rozehzadeh, M.D.NPI 1376508432

Title

President

Phone

(908) 226-1810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Rabin Rozehzadeh, M.D.

  • Family Medicine Physician
  • South Plainfield, NJ
  • NPI 1376508432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1295919066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "ROZEHZADEH",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-226-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA079401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.