Organization Active NPI

Middlesex Pulmonary Geriatric Associates LLC

  • Pulmonary Disease Physician
  • Edison, NJ
National Provider Identifier
1720522303
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA05083800 Issued in NJ
Legal business name
MIDDLESEX PULMONARY GERIATRIC ASSOCIATES LLC
Practice address
815 New Dover Rd
Edison, NJ 08820-1820
Phone
(732) 662-7475
Fax
(732) 243-9305
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Pankaja Achar, M.D.NPI 1003876186
Title
Owner
Phone
(732) 662-7475

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 25MA05083800 NJ Primary

Addresses

Primary practice location

815 New Dover Rd
Edison, NJ 08820-1820

Mailing address

815 New Dover Rd
Edison, NJ 08820-1820
Phone (732) 662-7475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1720522303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201820",
            "telephone_number": "732-662-7475",
            "fax_number": "732-243-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201820",
            "telephone_number": "732-662-7475",
            "fax_number": "732-243-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX PULMONARY GERIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "ACHAR",
        "authorized_official_first_name": "PANKAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-662-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05083800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.