Internal Medicine Associates of Lincoln Park, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF LINCOLN PARK, P.A.

Practice address

166 Main St Ste 1a
Lincoln Park, NJ 07035-1791

Phone

(973) 694-6260

Fax

(973) 694-2359

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jagdish Rai Jindal, MD

Title

President

Phone

(973) 694-6260

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Anju Budhwani, M.D.

  • Internal Medicine Physician
  • Lincoln Park, NJ
  • NPI 1679795835
  Medicare reassignment NPD
• Anil Kapoor, MD

  • Rheumatology Physician
  • Ringwood, NJ
  • NPI 1437259751
  NPD (past)
• Meena S Patel, MD

  • Internal Medicine Physician
  • West Paterson, NJ
  • NPI 1730128901
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1700072980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST STE 1A",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351791",
            "telephone_number": "973-694-6260",
            "fax_number": "973-694-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAIN ST STE 1A",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351791",
            "telephone_number": "973-694-6260",
            "fax_number": "973-694-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF LINCOLN PARK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "RAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-694-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2869209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Hernandez, OTR/L
• Beata Hertel-Kiszkiel, OT
• Tyler Hogan, NCC, LAC
• Sandra N Hunka, RD
• Icchoice
• Dania Irshaid
• Thomas S Iulo, DMD
• Suby Jacob, RPH
• Suhail S Jarroush, PHD, DCH
• Jeffrey M Falduto DMD Dental Practice LLC

• Specialist in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.