Sparkle Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SPARKLE MEDICAL PA

Practice address

1550 Park Avenue
Suit 104
South Plainfield, NJ 07080

Phone

(908) 548-8355

Fax

(908) 548-8359

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Seema S Rao, MD

Title

Owner

Phone

(908) 548-8355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1356580468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PARK AVE",
            "address_2": "SUITE 104",
            "city": "SO. PLAINFIELD",
            "state": "NJ",
            "postal_code": "07080",
            "telephone_number": "908-548-8355",
            "fax_number": "908-548-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PARK AVENUE",
            "address_2": "SUIT 104",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "07080",
            "telephone_number": "908-548-8355",
            "fax_number": "908-548-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-548-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220868",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.