Organization Active NPI

Navesink Primary Care,Inc

  • Internal Medicine Physician
  • Little Silver, NJ
National Provider Identifier
1396895595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07483400 Issued in NJ
Legal business name
NAVESINK PRIMARY CARE,INC
Practice address
200 White Rd
Suite 209
Little Silver, NJ 07739-1150
Phone
(732) 530-0070
Fax
(732) 530-0043
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deepinder Arora, M.D.NPI 1821036922
Title
Owner
Phone
(732) 530-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07483400 NJ Primary

Addresses

Primary practice location

200 White Rd
Suite 209
Little Silver, NJ 07739-1150

Mailing address

PO Box 23
Wickatunk, NJ 07765-0023
Phone (732) 530-0070

Other identifiers 1

IdentifierTypeStateIssuer
0004979MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000502 NJ Part B Supplier - Clinic/Group Practice 2365500618 Receives reassigned benefits from 1 practitioner
Practice locations: Little Silver, NJ

National Provider Directory

National Provider Directory

Locations

200 White Rd
Ste 209
Little Silver, NJ 07739
Phone (732) 530-0043

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396895595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "077650023",
            "telephone_number": "732-530-0070",
            "fax_number": "732-530-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 209",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-530-0070",
            "fax_number": "732-530-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVESINK PRIMARY CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "DEEPINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-530-0070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07483400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004979",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.