Organization Active NPI

Internal Medicine & Geriatric Care PC

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1659672970
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07491200 Issued in NJ
Legal business name
INTERNAL MEDICINE & GERIATRIC CARE PC
Practice address
14 Hospital Dr
Toms River, NJ 08755-6402
Phone
(732) 244-3100
NPI assigned
Nov 3, 2010
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Dr. Vanie S Ramachandra Rao, M.D.,NPI 1003838723
Title
Physician
Phone
(732) 797-2351

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 25MA07491200 NJ Primary

Addresses

Primary practice location

14 Hospital Dr
Toms River, NJ 08755-6402

Mailing address

42 Hummingbird CT
Marlboro, NJ 07746-2511
Phone (732) 797-2351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000059 NJ Part B Supplier - Clinic/Group Practice 2567645864 Receives reassigned benefits from 1 practitioner
Practice locations: Barnegat, NJ; Toms River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1659672970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HUMMINGBIRD CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462511",
            "telephone_number": "732-797-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOSPITAL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556402",
            "telephone_number": "732-244-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & GERIATRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRA RAO",
        "authorized_official_first_name": "VANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-797-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07491200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.