Organization Active NPI

Pavilion Medical Associates, LLC

  • Internal Medicine Physician
  • Monroe Township, NJ
National Provider Identifier
1689972002
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA066040800 Issued in NJ
Legal business name
PAVILION MEDICAL ASSOCIATES, LLC
Practice address
357 Applegarth Rd Ste 11
Monroe Township, NJ 08831-3731
Phone
(609) 409-2400
Fax
(609) 409-2404
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Ms. Rajney Monica Bais, MD
Title
President
Phone
(732) 616-3761

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA066040800 NJ Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA060109200 NJ
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 25MA06109200 NJ

Addresses

Primary practice location

357 Applegarth Rd Ste 11
Monroe Township, NJ 08831-3731

Mailing address

25 Zev CT
Monmouth Junction, NJ 08852-3128
Phone (732) 673-8011

Other names 1

  • Pavilion Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

357 Applegarth Rd
Ste 11
Monroe Twp, NJ 08831
Phone (609) 409-2400

357 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 395-0880

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1689972002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ZEV CT",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088523128",
            "telephone_number": "732-673-8011",
            "fax_number": "732-741-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 APPLEGARTH RD STE 11",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313731",
            "telephone_number": "609-409-2400",
            "fax_number": "609-409-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "BAIS",
        "authorized_official_first_name": "RAJNEY",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-616-3761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA066040800",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA060109200",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA06109200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.