Organization Active NPI

Teij Medical Inc.

  • Internal Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1457587776
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08077700 Issued in NJ
Legal business name
TEIJ MEDICAL INC.
Practice address
725 N Broad St
Elizabeth, NJ 07208-2347
Phone
(908) 351-8989
Fax
(908) 351-8879
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Baljit S Sappal, M.D.NPI 1124054747
Title
Physician/Director
Phone
(908) 351-8989

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 25MA08077700 NJ Primary

Addresses

Primary practice location

725 N Broad St
Elizabeth, NJ 07208-2347

Mailing address

43 Elizabeth Ave
Edison, NJ 08820-3960
Phone (908) 351-8989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000076 NJ Part B Supplier - Clinic/Group Practice 2365593308 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory

Locations

725 N Broad St
Elizabeth, NJ 07208
Phone (908) 351-8989

Practitioners & affiliated clinicians

Practitioners 1

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": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1457587776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ELIZABETH AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203960",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEIJ MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SAPPAL",
        "authorized_official_first_name": "BALJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/DIRECTOR",
        "authorized_official_telephone_number": "908-351-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08077700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.