NPIMap

Organization Active NPI

Intuitive Medical Group, LLC

  • Internal Medicine Physician
  • Berkeley Heights, NJ
National Provider Identifier
1700498359
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTUITIVE MEDICAL GROUP, LLC
Practice address
654 Springfield Ave
Berkeley Heights, NJ 07922-1078
Phone
(201) 986-1003
Fax
(201) 649-1864
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Thomas Ragukonis, MDNPI 1992744312
Title
Owner
Phone
(201) 986-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

654 Springfield Ave
Berkeley Heights, NJ 07922-1078

Mailing address

654 Springfield Ave
Berkeley Heights, NJ 07922-1078
Phone (201) 986-1003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jessica@alliancemedibilling.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jessica@alliancemedibilling.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1700498359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221078",
            "telephone_number": "201-986-1003",
            "fax_number": "201-649-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221078",
            "telephone_number": "201-986-1003",
            "fax_number": "201-649-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTUITIVE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "RAGUKONIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-986-1003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessica@alliancemedibilling.com",
            "affiliation": "N",
            "address_1": "654 Springfield Ave",
            "city": "Berkeley Heights",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079221078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.