Sandira V Segaram MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05040500 Issued in NJ

Legal business name

SANDIRA V SEGARAM MD LLC

Practice address

653 Willow Grove St
Suite 1600
Hackettstown, NJ 07840-1732

Phone

(908) 813-2888

Fax

(908) 813-2521

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandira Vaithia Segaram, MDNPI 1508813346

Title

Physician Owner

Phone

(908) 813-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandira V. Segaram MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandira V Segaram, M.D., F.A.C.P.

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1508813346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1437295227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 WILLOW GROVE ST",
            "address_2": "SUITE 1600",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401732",
            "telephone_number": "908-813-2888",
            "fax_number": "908-813-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 WILLOW GROVE ST",
            "address_2": "SUITE 1600",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401732",
            "telephone_number": "908-813-2888",
            "fax_number": "908-813-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIRA V SEGARAM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "SEGARAM",
        "authorized_official_first_name": "SANDIRA",
        "authorized_official_middle_name": "VAITHIA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "908-813-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05040500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandira V. Segaram MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matthew S Salerno, PHYSICAL THERAPIST
• Andrea Saltos, MSW, LSW
• Frank Timothy Salvatore, MD
• Parminderjeet S. Sandhu
• Vineet Sandhu
• Suzanne Santos, LPC
• Emily Saparito
• Sarwan S Kahlam, MD, LLC
• Faith Sassaman, FNP-BC
• Louise A Saunders, WHNP-BC

• Internal Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.