Active NPI
Gautam Malhotra, MD LLC
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Summit, NJ
National Provider Identifier
1386955003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MAO7676200
- Legal business name
- GAUTAM MALHOTRA, MD LLC
- Practice address
- 33 Overlook Rd Ste 212
Summit, NJ 07901-3563 - Phone
- (908) 273-0500
- NPI assigned
- Jun 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gautam Malhotra
- Title
- Physician
- Phone
- (908) 647-1072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 25MAO7676200 | NJ | Primary |
Addresses
Primary practice location
33 Overlook Rd Ste 212
Summit, NJ 07901-3563
Mailing address
33 Overlook Rd Ste 212
Summit, NJ 07901-3563
Phone (908) 273-0500
National Provider Directory
National Provider DirectoryLocations
349 E Northfield Rd
Ste 107
Livingston, NJ 07039
Phone (973) 535-3191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Summit, NJ
- NPI 1912074550
-
- Psychiatry Physician
- Summit, NJ
- NPI 1053626747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1386955003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD STE 212",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013563",
"telephone_number": "908-273-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD STE 212",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013563",
"telephone_number": "908-273-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAUTAM MALHOTRA, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-28",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "MALHOTRA",
"authorized_official_first_name": "GAUTAM",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "908-647-1072",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "NJ",
"license": "25MAO7676200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.