Disha Medical Care Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DISHA MEDICAL CARE CENTER LLC

Practice address

245 Union Ave Ste 2a
Bridgewater, NJ 08807-3064

Phone

(732) 423-8292

Fax

(908) 450-7737

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Geeta Yalamanchi, MD

Title

Owner

Phone

(732) 423-8292

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Isha Medical Care Center LLC Former legal business name

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1710404884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SANTORA DR",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692313",
            "telephone_number": "732-423-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 UNION AVE STE 2A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "732-423-8292",
            "fax_number": "908-450-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISHA MEDICAL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHI",
        "authorized_official_first_name": "GEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-423-8292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00366127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isha Medical Care Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danica Cherise Digiacomo, BA
• Rachel Diglio
• Jamie Lynn Digraziano, PA-C
• Josephine E Dimeo, MSW, LCSW
• Discovery Practice Management, Inc.
• Izee Mer Dizon, MSN, RN, APN
• Andrei Mihnea Dobrescu, M.D.
• Lindsay Dolashewich, RD
• Tara Domke
• Johnny Dong, DPM

• Internal Medicine Physician in Bridgewater, NJ
• Providers in Bridgewater, 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 Feb 27, 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.