Active NPI
Standard Medical Group LLC
- Internal Medicine Physician
- Middleton, MA
National Provider Identifier
1396291050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STANDARD MEDICAL GROUP LLC
- Practice address
- 1 Country Club LN
Middleton, MA 01949-1232 - Phone
- (216) 571-2337
- NPI assigned
- Aug 31, 2016
- 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
- Gagandeep Dhingra, MD
- Title
- Manager
- Phone
- (216) 571-2337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1 Country Club LN
Middleton, MA 01949-1232
Mailing address
1 Country Club LN
Middleton, MA 01949-1232
Phone (216) 571-2337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1396291050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COUNTRY CLUB LN",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491232",
"telephone_number": "216-571-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COUNTRY CLUB LN",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491232",
"telephone_number": "216-571-2337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANDARD MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "DHINGRA",
"authorized_official_first_name": "GAGANDEEP",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "216-571-2337",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Spring Valley Behavioral Consultants LLC
- Kelli Ann Sullivan, LICSW
- Julie Renee Sulzinsky, NP
- Elena Talmaci
- Angellina Delight Tamburello, RBT
- Mackenzie Targett, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.