Organization Active NPI

Mira Kaga MD LLC

  • Internal Medicine Physician
  • Marlboro, NJ
National Provider Identifier
1689197014
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIRA KAGA MD LLC
Practice address
58 N Main St
Marlboro, NJ 07746-1451
Phone
(732) 719-2001
Fax
(732) 719-2002
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mira Kaga, MD
Title
Owner
Phone
(732) 719-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

58 N Main St
Marlboro, NJ 07746-1451

Mailing address

58 N Main St
Marlboro, NJ 07746-1451
Phone (732) 719-2001

Other names 1

  • The Kaga Institute Doing business as

National Provider Directory

National Provider Directory

Locations

555 State Route 18
Ste 101
East Brunswick, NJ 08816
Phone (609) 817-0052

14 Snowhill St
Ste A
Spotswood, NJ 08884
Phone (732) 210-0808

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1689197014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461451",
            "telephone_number": "732-719-2001",
            "fax_number": "732-719-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461451",
            "telephone_number": "732-719-2001",
            "fax_number": "732-719-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA KAGA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "KAGA",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-719-2001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kaga Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Kaga Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.