Lodi Internist Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LODI INTERNIST GROUP PA

Practice address

361 Garibaldi Ave
Lodi, NJ 07644-3709

Phone

(973) 773-3556

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Vijay Thamman, MD

Title

President

Phone

(973) 773-3556

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1699784637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GARIBALDI AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443709",
            "telephone_number": "973-773-3556",
            "fax_number": "973-773-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GARIBALDI AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443709",
            "telephone_number": "973-773-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI INTERNIST GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "THAMMAN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-773-3556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wing Yin Maggie Leung, DDS
• Hua-Yu Steven Liao, D.M.D.
• Carla F. Loaiza, DPT
• Lodi Acupuncture and Wellness LLC
• Lodi Board of Education
• Lodi Volunteer Ambulance Rescue Squad, Inc.
• Lodirx LLC
• Lotus Affordable Acupuncture, LLC
• Loving Care Dental LLC
• Michael Luna, D.C.

• Internal Medicine Physician in Lodi, NJ
• Providers in Lodi, 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 Jul 13, 2010; 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.