Organization Active NPI

Rickers & Kulkarni Medical Group PA

  • Internal Medicine Physician
  • Millburn, NJ
National Provider Identifier
1427102771
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA41977 Issued in NJ
Legal business name
RICKERS & KULKARNI MEDICAL GROUP PA
Practice address
116 Millburn Ave
Suite 108
Millburn, NJ 07041-1943
Phone
(973) 564-5227
Fax
(973) 564-5229
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Pratibha A. Kulkarni
Title
Sole Proprietor
Phone
(973) 564-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA41977 NJ Primary

Addresses

Primary practice location

116 Millburn Ave
Suite 108
Millburn, NJ 07041-1943

Mailing address

297 Walnut St
Livingston, NJ 07039-5009
Phone (973) 564-5227

Other identifiers 1

IdentifierTypeStateIssuer
1883402MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1427102771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WALNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395009",
            "telephone_number": "973-564-5227",
            "fax_number": "973-564-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MILLBURN AVE",
            "address_2": "SUITE 108",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411943",
            "telephone_number": "973-564-5227",
            "fax_number": "973-564-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKERS & KULKARNI MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "973-564-5227",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA41977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.