Active NPI
Saurabh R Joneja, M.D.
- Occupational Medicine Physician
- Mishawaka, IN
National Provider Identifier
1649460619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 01064156
- Practice address
- 270 E Day Rd
Suite 270
Mishawaka, IN 46545-3444 - Phone
- (574) 247-5657
- Fax
- (574) 472-5658
- NPI assigned
- Jul 26, 2007
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 01064156 | IN | Primary |
Addresses
Primary practice location
270 E Day Rd
Suite 270
Mishawaka, IN 46545-3444
Mailing address
810 Park PL
Mishawaka, IN 46545-3520
Phone (574) 472-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064156 | IN | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Past | Accepting new patients | |
| Modern Maturity Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Alternative Care
- Clinic/Center
- Milford, DE
- NPI 1265422828
-
- Adult Day Care Clinic/Center
- Dover, DE
- NPI 1609923408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1649460619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PARK PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453520",
"telephone_number": "574-472-6766",
"fax_number": "574-472-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E DAY RD",
"address_2": "SUITE 270",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453444",
"telephone_number": "574-247-5657",
"fax_number": "574-472-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONEJA",
"first_name": "SAURABH",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IN",
"license": "01064156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.