NPIMap

Organization Active NPI

Omg Senior Care LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Whiting, NJ
National Provider Identifier
1720798986
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
OMG SENIOR CARE LLC
Practice address
401 Lacey Rd Ste B
Whiting, NJ 08759-1386
Phone
(732) 849-1075
Fax
(732) 849-1076
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Dr. Karambir Dalal, MDNPI 1881695757
Title
MD
Phone
(732) 757-7136

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

401 Lacey Rd Ste B
Whiting, NJ 08759-1386

Mailing address

401 Lacey Rd Ste B
Whiting, NJ 08759-1386
Phone (732) 849-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221221001174 NJ Part B Supplier - Clinic/Group Practice 3870963598 Receives reassigned benefits from 2 practitioners
Practice locations: Whiting, NJ

National Provider Directory

National Provider Directory

Locations

401 Lacey Rd
Ste B
Whiting, NJ 08759
Phone (732) 849-1075

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1720798986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LACEY RD STE B",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591386",
            "telephone_number": "732-849-1075",
            "fax_number": "732-849-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LACEY RD STE B",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591386",
            "telephone_number": "732-849-1075",
            "fax_number": "732-849-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMG SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "KARAMBIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-757-7136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.