Raritan Bay Medical Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA05881000 Issued in NJ

Legal business name

RARITAN BAY MEDICAL CENTER

Practice address

466 New Brunswick Ave
Perth Amboy, NJ 08861-3647

Phone

(732) 324-3300

Fax

(732) 952-8841

NPI assigned

Sep 15, 2010

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Brug, MD

Title

MD

Phone

(732) 324-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vedavani Tiruveedhula, MD

  • Psychiatry Physician
  • Boston, MA
  • NPI 1760865497
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1326356197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48270",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018470",
            "telephone_number": "201-818-9118",
            "fax_number": "732-952-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613647",
            "telephone_number": "732-324-3300",
            "fax_number": "732-952-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN BAY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "BRUG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-324-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05881000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4137817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramydia Health Care LLC
• Nina H Raps, RPH
• Raritan Bay Diagnostic Imaging
• Raritan Bay Medical Center
• Raritan Bay Medical Center
• Raritan Bay Medical Center
• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services
• Raritan Bay Medical Center Professional Services
• Raritan Bay Oral & Maxillofacial Surgery PA

• Obstetrics & Gynecology Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.