Individual provider Active NPI

Sarwat S Takla, MD

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1316907983
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06588900 Issued in NJ
Practice address
1163 Route 37 W Ste C1
Toms River, NJ 08755-4975
Phone
(732) 281-8580
Fax
(732) 551-2075
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06588900 NJ Primary

Addresses

Primary practice location

1163 Route 37 W Ste C1
Toms River, NJ 08755-4975

Mailing address

PO Box 1550
Toms River, NJ 08754-1550
Phone (732) 281-8580

Other identifiers 1

IdentifierTypeStateIssuer
7402601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000145 NJ Practitioner - Internal Medicine 4981690799 Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1163 Rte 37
Suite C1
Toms River, NJ 08755-4975
Phone (609) 693-5006

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Community Medical Center Tcu Nursing home, Toms River, NJ, CCN 315490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06588900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Services, LLC Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Bassam M Haddad, MD, PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/9/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1316907983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541550",
            "telephone_number": "732-281-8580",
            "fax_number": "732-551-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W STE C1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554975",
            "telephone_number": "732-281-8580",
            "fax_number": "732-551-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKLA",
        "first_name": "SARWAT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06588900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.