Organization Active NPI

Carver Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Jersey City, NJ
National Provider Identifier
1598167850
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08561100 Issued in NJ
Legal business name
CARVER MEDICAL GROUP
Practice address
577 Bergen Ave
Jersey City, NJ 07304-2526
Phone
(201) 451-2500
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Ketan Dhruvkumar Vora, DO
Title
MD/Owner
Phone
(201) 451-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 25MB08561100 NJ Primary

Addresses

Primary practice location

577 Bergen Ave
Jersey City, NJ 07304-2526

Mailing address

577 Bergen Ave
Jersey City, NJ 07304-2526
Phone (201) 451-2500

National Provider Directory

National Provider Directory

Locations

577 Bergen Ave
Jersey City, NJ 07304
Phone (201) 451-2500

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1598167850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042526",
            "telephone_number": "201-451-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042526",
            "telephone_number": "201-451-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "DHRUVKUMAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "201-451-2500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08561100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

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