Organization Active NPI

Metuchen Family Medicine LLC

  • Internal Medicine Physician
  • Metuchen, NJ
National Provider Identifier
1346062429
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METUCHEN FAMILY MEDICINE LLC
Practice address
78 Amboy Ave
Metuchen, NJ 08840-2545
Phone
(908) 510-6044
NPI assigned
Oct 29, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Ravjot Sodhi, MDNPI 1760863559
Title
Sole Member
Phone
(908) 510-6044

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU

Addresses

Primary practice location

78 Amboy Ave
Metuchen, NJ 08840-2545

Mailing address

3 Woodside CT
Edison, NJ 08820-2572
Phone (908) 510-6044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241202000221 NJ Part B Supplier - Clinic/Group Practice 4082149919 Receives reassigned benefits from 1 practitioner
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

78 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-4365

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1346062429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODSIDE CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202572",
            "telephone_number": "908-510-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402545",
            "telephone_number": "908-510-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METUCHEN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "RAVJOT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-510-6044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.