Organization Active NPI

Raritan Bay Primary Care & Cardiology Associates, PA

  • Specialist
  • Matawan, NJ
National Provider Identifier
1679845689
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RARITAN BAY PRIMARY CARE & CARDIOLOGY ASSOCIATES, PA
Practice address
246 State Route 34
Matawan, NJ 07747-2180
Phone
(732) 952-3800
NPI assigned
Feb 7, 2012
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Vijay PatelNPI 1922045590
Title
MD
Phone
(732) 629-6602

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

246 State Route 34
Matawan, NJ 07747-2180

Mailing address

246 State Route 34
Matawan, NJ 07747-2180
Phone (732) 629-6601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000538 NJ Part B Supplier - Clinic/Group Practice 6204090442 Receives reassigned benefits from 2 practitioners
Practice locations: Matawan, NJ; Perth Amboy, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2101224Raritan Bay Primary Care & Cardiology Assoc, PA246 State Route 34, Matawan, NJ 07747Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

246 State Route 34
Ofc Setting
Matawan, NJ 07747
Phone (732) 952-3800

72 State Route 34
#B
Old Bridge, NJ 08857
Phone (732) 762-1930

Practitioners & affiliated clinicians

Practitioners 3

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": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1679845689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 STATE ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472180",
            "telephone_number": "732-629-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 STATE ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472180",
            "telephone_number": "732-952-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN BAY PRIMARY CARE & CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-629-6602"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.