Organization Active NPI

Amandeep K Pall MD LLC

  • Infectious Disease Physician
  • North Brunswick, NJ
National Provider Identifier
1487900585
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA08862000 Issued in NJ
Legal business name
AMANDEEP K PALL MD LLC
Practice address
2090 Route 27
Suite 101
North Brunswick, NJ 08902
Phone
(732) 422-3398
Fax
(973) 618-5523
NPI assigned
Jul 27, 2012
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Amandeep K Pall, M.D.NPI 1720222060
Title
Owner
Phone
(732) 422-3398

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
Infectious Disease Physician 207RI0200X 25MA08862000 NJ Primary

Addresses

Primary practice location

2090 Route 27
Suite 101
North Brunswick, NJ 08902

Mailing address

PO Box 6774
Hillsborough, NJ 08844-6774
Phone (732) 422-3398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120808000702 NJ Part B Supplier - Clinic/Group Practice 6204082191 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

2 State Route 27
Ste 402
Edison, NJ 08820
Phone (908) 444-0756

2090 Route 27
Ste 101E
North Brunswick, NJ 08902
Phone (732) 422-3398

2090 State Route 27
Ste 101
North Brunswick, NJ 08902
Phone (732) 220-0049

Practitioners & affiliated clinicians

Practitioners 1

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1487900585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6774",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088446774",
            "telephone_number": "732-422-3398",
            "fax_number": "973-618-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ROUTE 27",
            "address_2": "SUITE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-422-3398",
            "fax_number": "973-618-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDEEP K PALL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "PALL",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-422-3398",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08862000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.