Delran Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA57034 Issued in NJ

Legal business name

DELRAN INTERNAL MEDICINE LLC

Practice address

5045 Rte 130 S
Ste E
Delran, NJ 08075-9707

Phone

(856) 764-2525

Fax

(856) 764-6344

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew P Basara Jr., MDNPI 1972602191

Title

Physician

Phone

(856) 764-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Peter Basara, MD

  • Internal Medicine Physician
  • Delran, NJ
  • NPI 1972602191
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1356499768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 RTE 130 S",
            "address_2": "STE E",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-2525",
            "fax_number": "856-764-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 RTE 130 S",
            "address_2": "STE E",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-2525",
            "fax_number": "856-764-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAN INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "BASARA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-764-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA57034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Delisi, PT, DPT
• Delran Dental & Specialty Group, LLC
• Delran Emergency Squad
• Delran Eye Associates LLC
• Delran Family Practice
• Delran Pharmacy
• Delran Township School District
• Destiny Supportive Services
• Carli Dicioccio, P.A
• Michaela Marie Diemer

• Internal Medicine Physician in Delran, NJ
• Providers in Delran, 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 Dec 18, 2009; 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.