Quality Medical Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06588900 Issued in NJ

Legal business name

QUALITY MEDICAL SERVICES, LLC

Practice address

1044 Lacey Rd
Forked River, NJ 08731-1051

Phone

(609) 693-5006

Fax

(609) 693-5016

NPI assigned

Jul 13, 2012

Last updated

Jul 13, 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

Dr. Sarwat S Takla, M.D.NPI 1316907983

Title

Physician

Phone

(609) 693-5006

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Sarwat S Takla, MD

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1316907983
  NPD (past) Authorized official

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1346595584",
    "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": "609-693-5006",
            "fax_number": "609-693-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-693-5006",
            "fax_number": "609-693-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "SARWAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-693-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06588900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7402601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prasanna Govind Pradhan, M.D.
• Jennifer Preston, DPT
• Pro Med Transportation, LLC
• Kimberly Purcell
• Quality Chiropractic and Physical Therapy
• Mary Patricia Radd, MSN, APN
• Keira Rafferty
• Cheryl Ragonesi, LCSW
• Maria Georgina Pineda Ramos, MD
• Chenzira Raphael I

• Internal Medicine Physician in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.