NPIMap

Organization Active NPI

Jayanthi Periasamy MD PC

  • Psychiatry Physician
  • Somerset, NJ
National Provider Identifier
1629393772
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07322300 Issued in NJ
Legal business name
JAYANTHI PERIASAMY MD PC
Practice address
100 Davidson Avenue
Suite 203
Somerset, NJ 08873
Phone
(732) 563-0033
Fax
(732) 563-0035
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Jayanthi Periasamy
Title
Owner
Phone
(732) 563-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA07322300 NJ Primary

Addresses

Primary practice location

100 Davidson Avenue
Suite 203
Somerset, NJ 08873

Mailing address

P O Box 118
Marlboro, NJ 07746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1629393772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 118",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAVIDSON AVENUE",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-563-0033",
            "fax_number": "732-563-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYANTHI PERIASAMY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "PERIASAMY",
        "authorized_official_first_name": "JAYANTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-563-0033"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07322300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.