Organization Active NPI

North Brunswick Primary Care, PC

  • Family Medicine Physician
  • North Brunswick, NJ
National Provider Identifier
1356446009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH BRUNSWICK PRIMARY CARE, PC
Practice address
1520 US Highway 130
Suite 202
North Brunswick, NJ 08902-3148
Phone
(732) 422-7222
Fax
(732) 422-7223
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kripa Velluva Veettil
Title
MD
Phone
(732) 422-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NJ Primary

Addresses

Primary practice location

1520 US Highway 130
Suite 202
North Brunswick, NJ 08902-3148

Mailing address

1520 US Highway 130
Suite 202
North Brunswick, NJ 08902-3148
Phone (732) 422-7222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356446009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 US HIGHWAY 130",
            "address_2": "SUITE 202",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023148",
            "telephone_number": "732-422-7222",
            "fax_number": "732-422-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 US HIGHWAY 130",
            "address_2": "SUITE 202",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023148",
            "telephone_number": "732-422-7222",
            "fax_number": "732-422-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BRUNSWICK PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELLUVA VEETTIL",
        "authorized_official_first_name": "KRIPA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-422-7222"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.