West Park Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WEST PARK MEDICAL LLC

Practice address

780 W Park Ave
Oakhurst, NJ 07755-1014

Phone

(732) 775-6011

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Santiago, MD

Title

Owner

Phone

(732) 775-6011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajneesh G Mehta, M.D.

  • Internal Medicine Physician
  • Ocean, NJ
  • NPI 1063619294
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588601389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551014",
            "telephone_number": "732-775-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W PARK AVE",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551014",
            "telephone_number": "732-775-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-775-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya V Weissman, M.D.
• Wellness-at-Home
• Wellness-at-Home
• Wellness-at-Home LLC
• West Park Chiropractic Center
• Michael Craig Wisotsky, PHARMD
• Allison Wospil, DPT
• Caitlin Yesis, AU.D.
• Zarish Zainab, PHARMACIST
• Randa Zakhary, MD

• Internal Medicine Physician in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.