Organization Active NPI

Gautam Malhotra, MD LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Summit, NJ
National Provider Identifier
1386955003
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
25MAO7676200 Issued in NJ
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

Updated by the provider on Jun 28, 2010

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)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.