NPIMap

Organization Active NPI

Diabetes & Endocrinology Associates of South Jersey

  • Endocrinology, Diabetes & Metabolism Physician
  • Hammonton, NJ
National Provider Identifier
1508070111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MA058973 Issued in NJ
Legal business name
DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY
Practice address
600 S. White Horse Pike
Kessler Memorial Hospital
Hammonton, NJ 08037
Phone
(856) 262-4681
Fax
(856) 262-2376
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rishi K Rastogi, M.D.
Title
President
Phone
(856) 262-4681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MA058973 NJ Primary

Addresses

Primary practice location

600 S. White Horse Pike
Kessler Memorial Hospital
Hammonton, NJ 08037

Mailing address

512 Stockton Dr
Williamstown, NJ 08094-1984
Phone (856) 262-4681

Other identifiers 1

IdentifierTypeStateIssuer
7520301MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Endocrinology Associates of South Jersey4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

600 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-6700

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508070111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 STOCKTON DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941984",
            "telephone_number": "856-262-4681",
            "fax_number": "856-262-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S. WHITE HORSE PIKE",
            "address_2": "KESSLER MEMORIAL HOSPITAL",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "856-262-4681",
            "fax_number": "856-262-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINOLOGY ASSOCIATES OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "RISHI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-262-4681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "MA058973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7520301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.