Ridge Road Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08924900 Issued in NJ

Legal business name

RIDGE ROAD PHYSICIANS LLC

Practice address

222 South St
Freehold, NJ 07728-2619

Phone

(732) 387-7795

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kiran M Medasani, M.D

Title

Member

Phone

(908) 670-4136

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1699023002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 GALLYA GRV",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514444",
            "telephone_number": "908-670-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282619",
            "telephone_number": "732-387-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE ROAD PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MEDASANI",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-670-4136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08924900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417251703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhythm Medical Transportation
• Stanley Rich, M.D.
• Katie A Richter, MS, OTR/L
• Kathryn Ricker, OTR/L
• Jacob Rickett, DPT
• Lorraine Riker, ANPC
• Merissa Marie Ringel
• Theresa Risley, RD
• Christine Elizabeth Ritschel, PERSONAL TRAINER
• Lauren Anne Rittenbach, DNP, CNM, WHNP-BC

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, 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 May 7, 2015; 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.