Windsor Internal Medicine & Geriatrics

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25MA06324400 Issued in NJ

Legal business name

WINDSOR INTERNAL MEDICINE & GERIATRICS

Practice address

1330 Rev S Howard Woodson Jr Way
Trenton, NJ 08638-4018

Phone

(609) 396-4222

Fax

(609) 396-4378

NPI assigned

Nov 7, 2006

Last updated

Oct 5, 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

Anusuya Jeyakumar, MDNPI 1447453329

Title

President

Phone

(609) 396-4222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Windsor Internal Medicine and Geriatria2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Windsor Internal Medicine and Geriatria

  • Internal Medicine Physician
  • East Windsor, NJ
  • NPI 1912100926
  NPD tax ID

Locations

Practitioners 2

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.

• Anusuya Jeyakumar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Trenton, NJ
  • NPI 1447453329
  Medicare reassignment Authorized official
• Rubab Tahira Sheikh, PT

  • Physical Therapist
  • Marlboro, NJ
  • NPI 1255567129
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1366511123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CALHOUN STREET",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-396-4222",
            "fax_number": "609-396-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 REV S HOWARD WOODSON JR WAY",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384018",
            "telephone_number": "609-396-4222",
            "fax_number": "609-396-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR INTERNAL MEDICINE & GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "JEYAKUMAR",
        "authorized_official_first_name": "ANUSUYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-396-4222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA06324400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6897401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Williamson, MD
• Willow Medical (W. Scott Taylor Medical & Surgical Supplies)
• Joanne Wilson
• Karon Janet Wilson
• Sabrina Hupp Wimsatt
• Benjamin Winston, D.D.S.
• Elinor Winter, CRNA
• Danielle Witt, LSW
• Shane Raymond Wittkop, BA
• Katherine Rebecca Wollert

• Geriatric Medicine (Internal Medicine) Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.