Organization Active NPI

Sai Medical Center, LLC

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1609932532
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA68009 Issued in NJ
Legal business name
SAI MEDICAL CENTER, LLC
Practice address
252 Washington Ave
Belleville, NJ 07109-3155
Phone
(973) 450-9600
Fax
(973) 450-4054
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Srinivasa Eswarapu, MDNPI 1346215225
Title
President
Phone
(973) 450-9600

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA68009 NJ Primary

Addresses

Primary practice location

252 Washington Ave
Belleville, NJ 07109-3155

Mailing address

PO Box 362
Belleville, NJ 07109-0362
Phone (973) 450-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000001 NJ Part B Supplier - Clinic/Group Practice 8628158383 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, NJ

National Provider Directory

National Provider Directory

Locations

280 S Harrison St
Ste B2
East Orange, NJ 07018
Phone (973) 677-7887

Practitioners & affiliated clinicians

Practitioners 2

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1609932532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071090362",
            "telephone_number": "973-450-9600",
            "fax_number": "973-450-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093155",
            "telephone_number": "973-450-9600",
            "fax_number": "973-450-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "ESWARAPU",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-450-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.