Organization Active NPI

Sandip Parikh MD LLC

  • Internal Medicine Physician
  • Wall Township, NJ
National Provider Identifier
1295920874
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANDIP PARIKH MD LLC
Practice address
2015 Tally Ho Dr
Wall Township, NJ 07719-4624
Phone
(732) 681-2737
Fax
(732) 681-2737
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Sandip Parikh, MDNPI 1952347619
Title
Physician
Phone
(732) 681-2737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2015 Tally Ho Dr
Wall Township, NJ 07719-4624

Mailing address

2015 Tally Ho Dr
Wall Township, NJ 07719-4624
Phone (732) 681-2737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071008000016 NJ Part B Supplier - Clinic/Group Practice 3274628128 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

35 Beaverson Blvd
Ste 6B
Brick, NJ 08723
Phone (732) 262-0222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJCIBA

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1295920874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 TALLY HO DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194624",
            "telephone_number": "732-681-2737",
            "fax_number": "732-681-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 TALLY HO DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194624",
            "telephone_number": "732-681-2737",
            "fax_number": "732-681-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIP PARIKH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-681-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.