Active NPI
Piscataway Healthcare PC
- Corporate Health Clinic/Center
- Piscataway, NJ
National Provider Identifier
1508001827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- License
- 25MAO4025500
- Legal business name
- PISCATAWAY HEALTHCARE PC
- Practice address
- 366 Vail Ave
Piscataway, NJ 08854-1500 - Phone
- (732) 968-2811
- Fax
- (732) 968-7769
- NPI assigned
- Dec 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zai M Karu, ETC
- Title
- Business
- Phone
- (732) 968-2811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | 25MAO4025500 | NJ | Primary |
Addresses
Primary practice location
366 Vail Ave
Piscataway, NJ 08854-1500
Mailing address
366 Vail Ave
Piscataway, NJ 08854-1500
Phone (732) 968-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090618000254 | NJ | Part B Supplier - Clinic/Group Practice | 6608926357 |
Receives reassigned benefits from 5 practitioners Practice locations: Dunellen, NJ |
National Provider Directory
National Provider DirectoryLocations
760 Bound Brook Rd
Dunellen, NJ 08812
Phone (732) 397-1474
760 Bound Brook Rd
Ste A
Dunellen, NJ 08812
Phone (732) 968-2811
Interoperability endpoints
- https://api.platform.athenahealth.com/22407/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Dunellen, NJ
- NPI 1013872647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229385600000",
"number": "1508001827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 VAIL AVE",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088541500",
"telephone_number": "732-968-2811",
"fax_number": "732-968-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 VAIL AVE",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088541500",
"telephone_number": "732-968-2811",
"fax_number": "732-968-7769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PISCATAWAY HEALTHCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A",
"authorized_official_last_name": "KARU",
"authorized_official_first_name": "ZAI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS",
"authorized_official_telephone_number": "732-968-2811",
"authorized_official_credential": "ETC"
},
"taxonomies": [
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": "NJ",
"license": "25MAO4025500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.