Nirmala Selvam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06711700 Issued in NJ

Practice address

1405 Chews Landing Rd
Ste. 4
Laurel Springs, NJ 08021-2769

Phone

(856) 228-1118

Fax

(856) 228-9928

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Yakobashvili,MD,LLC

  • Internal Medicine Physician
  • Chester, NJ
  • NPI 1306097548
  Medicare reassignment NPD
• Gericare Assoc LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Laurel Springs, NJ
  • NPI 1548331903
  NPD (past)
• Gericare Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
  • NPI 1669640470
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1356534028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "address_2": "STE. 4",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-228-1118",
            "fax_number": "856-228-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD",
            "address_2": "STE. 4",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-228-1118",
            "fax_number": "856-228-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAM",
        "first_name": "NIRMALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06711700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7722401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Rosevelt, LMFT
• Ryt Care LLC
• Carol Schmidt, MD
• Alyssa Nicole Scolari, MA, LPC, ACS
• Panagiota Sehas, LAMFT
• Senior Care Centers of America, Inc.
• Vidhi Shah, DMD
• Sicklerville Internal Medicine
• Theresa Soda, LPC
• Meredith Rose Sodie, LMFT

• Internal Medicine Physician in Laurel Springs, NJ
• Providers in Laurel Springs, 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 Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.