Active NPI
Mymd4Me LLC
- Internal Medicine Physician
- Vineland, NJ
National Provider Identifier
1417339789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05775600
- Legal business name
- MYMD4ME LLC
- Practice address
- 49 S State St
Vineland, NJ 08360-4818 - Phone
- (856) 696-3463
- Fax
- (856) 691-0440
- NPI assigned
- Jun 23, 2015
- Last updated
- Sep 4, 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
- Dr. Raghuraj S Tomar, MD
- Title
- Owner
- Phone
- (856) 498-0845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05775600 | NJ | Primary |
Addresses
Primary practice location
49 S State St
Vineland, NJ 08360-4818
Mailing address
49 S State St
Vineland, NJ 08360-4818
Phone (856) 696-3463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493881 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472947200000",
"number": "1417339789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S STATE ST",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604818",
"telephone_number": "856-696-3463",
"fax_number": "856-691-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 S STATE ST",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083604818",
"telephone_number": "856-696-3463",
"fax_number": "856-691-0440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYMD4ME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-23",
"last_updated": "2016-09-04",
"status": "A",
"authorized_official_last_name": "TOMAR",
"authorized_official_first_name": "RAGHURAJ",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-498-0845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05775600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0493881",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.