Organization Active NPI

M Sahota MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Newark, NJ
National Provider Identifier
1487890901
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
M SAHOTA MD PC
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(201) 949-1100
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Debra Schork, RN
Title
RN
Phone
(908) 472-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

PO Box 297
Liberty Corner, NJ 07938-0297
Phone (908) 472-1142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000053 NJ Part B Supplier - Clinic/Group Practice 1254489305 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ; Vauxhall, NJ

National Provider Directory

National Provider Directory

Locations

2280 Springfield Ave
Vauxhall, NJ 07088
Phone (908) 258-0458

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": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1487890901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "079380297",
            "telephone_number": "908-472-1142",
            "fax_number": "908-350-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "201-949-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SAHOTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SCHORK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "908-472-1142",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.