Preventive and Diagonostic Medical Center P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA064252 Issued in NJ

Legal business name

PREVENTIVE AND DIAGONOSTIC MEDICAL CENTER P.A.

Practice address

27 S Franklin Tpke
Ramsey, NJ 07446-2550

Phone

(201) 818-6800

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arun Sehgal, MDNPI 1326017799

Title

MD

Phone

(201) 818-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Preventive and Diagnostic Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preventive and Diagnostic Medical Center

  • Internal Medicine Physician
  • Ramsey, NJ
  • NPI 1689744310
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arun Sehgal, M.D.

  • Internal Medicine Physician
  • Ramsey, NJ
  • NPI 1326017799
  Medicare reassignment Care Compare group NPD Authorized official
• Kanchana Balasubramanian, M.D

  • Internal Medicine Physician
  • Rutherford, NJ
  • NPI 1780626143
  Medicare reassignment Care Compare group NPD
• Sospeter Obiero, APN

  • Gerontology Nurse Practitioner
  • East Orange, NJ
  • NPI 1265567788
  Medicare reassignment Care Compare group NPD
• Merin T Mathew

  • Family Nurse Practitioner
  • New Milford, NJ
  • NPI 1962205781
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1679650105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S FRANKLIN TPKE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462550",
            "telephone_number": "201-818-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S FRANKLIN TPKE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462550",
            "telephone_number": "201-818-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE AND DIAGONOSTIC MEDICAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "SEHGAL",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-818-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA064252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00145412",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ramsey, NJ
• Providers in Ramsey, 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 23, 2009; 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.