Active NPI
Pavilion Medical Associates, LLC
- Internal Medicine Physician
- Monroe Township, NJ
National Provider Identifier
1689972002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA066040800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA066040800 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 25MA060109200 | NJ | |
| Infectious Disease Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Monroe Township, NJ
- NPI 1326264185
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.