Organization Active NPI

Somerset Medical Associates

  • General Practice Physician
  • Edison, NJ
National Provider Identifier
1497936066
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOMERSET MEDICAL ASSOCIATES
Practice address
1604 Rivendell Way
Edison, NJ 08817-2021
Phone
(732) 947-4429
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Marco Fernando, M.D.
Title
President
Phone
(732) 947-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1604 Rivendell Way
Edison, NJ 08817-2021

Mailing address

1604 Rivendellway
Edison, NJ 08817-2021
Phone (732) 947-4429

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1497936066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 RIVENDELLWAY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172021",
            "telephone_number": "732-947-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 RIVENDELL WAY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172021",
            "telephone_number": "732-947-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-947-4429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.