Organization Active NPI

Quality Medical Associates

  • Internal Medicine Physician
  • Galloway, NJ
National Provider Identifier
1538224936
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207R00000X Issued in NJ
Legal business name
QUALITY MEDICAL ASSOCIATES
Practice address
29 S New York Rd
Suite 700
Galloway, NJ 08205-9692
Phone
(609) 404-1823
Fax
(609) 404-1853
NPI assigned
Dec 26, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Sun Miao, MDNPI 1750314803
Title
Owner
Phone
(609) 404-1823

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
Internal Medicine Physician 207R00000X 207R00000X NJ Primary

Addresses

Primary practice location

29 S New York Rd
Suite 700
Galloway, NJ 08205-9692

Mailing address

29 S New York Rd
Suite 700
Galloway, NJ 08205-9692
Phone (609) 404-1823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101115001216 NJ Part B Supplier - Clinic/Group Practice 3375738479 Receives reassigned benefits from 1 practitioner
Practice locations: Galloway, NJ

National Provider Directory

National Provider Directory

Locations

29 S New York Rd
Ste 700
Galloway, NJ 08205
Phone (609) 404-1823

Practitioners & affiliated clinicians

Practitioners 2

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1538224936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S NEW YORK RD",
            "address_2": "SUITE 700",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059692",
            "telephone_number": "609-404-1823",
            "fax_number": "609-404-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S NEW YORK RD",
            "address_2": "SUITE 700",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059692",
            "telephone_number": "609-404-1823",
            "fax_number": "609-404-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MIAO",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-404-1823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.