Princeton Medical Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA075290 Issued in NJ

Legal business name

PRINCETON MEDICAL CARE LLC

Practice address

3542 Rte 27
Kendall Park, NJ 08824-1050

Phone

(732) 821-5562

Fax

(732) 821-5347

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Bobby Malik, MD

Title

Onwer/President

Phone

(732) 821-5562

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1619147485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3542 RTE 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241050",
            "telephone_number": "732-821-5562",
            "fax_number": "732-821-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 RTE 27",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241050",
            "telephone_number": "732-821-5562",
            "fax_number": "732-821-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "ONWER/PRESIDENT",
        "authorized_official_telephone_number": "732-821-5562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA075290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911590",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kendall Park, NJ
• Providers in Kendall Park, 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 Mar 7, 2008; 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.