Organization Active NPI

DRS Medical Associates, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1477938272
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DRS MEDICAL ASSOCIATES, LLC
Practice address
115 Christopher Columbus Dr
Suite301
Jersey City, NJ 07302-5526
Phone
(201) 706-3808
Fax
(201) 215-9512
NPI assigned
Jul 22, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Ritu Sharma, MDNPI 1205008414
Title
Member
Phone
(201) 706-3808

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

115 Christopher Columbus Dr
Suite301
Jersey City, NJ 07302-5526

Mailing address

115 Christopher Columbus Dr
Suite301
Jersey City, NJ 07302-5526
Phone (201) 706-3808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151103000403 NJ Part B Supplier - Clinic/Group Practice 4981914041 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2103346DRS Medical Associates115 Christopher Columbus Drive, Suite 301, Jersey City, NJ 07302Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
DRS Medical Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Christopher Columbus Dr
Ste 301
Jersey City, NJ 07302
Phone (201) 268-5636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1477938272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR",
            "address_2": "SUITE301",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025526",
            "telephone_number": "201-706-3808",
            "fax_number": "201-215-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR",
            "address_2": "SUITE301",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025526",
            "telephone_number": "201-706-3808",
            "fax_number": "201-215-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-706-3808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.