Organization Active NPI

Freehold Primary Care PC

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1740351600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06622000 Issued in NJ
Legal business name
FREEHOLD PRIMARY CARE PC
Practice address
209 Highway 18 South
East Brunswick, NJ 08816-1413
Phone
(732) 249-3100
Fax
(732) 249-7787
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarath Babu, MDNPI 1992744767
Title
Owner Operator
Phone
(732) 249-3100

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: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA06622000 NJ Primary

Addresses

Primary practice location

209 Highway 18 South
East Brunswick, NJ 08816-1413

Mailing address

209 Highway 18 South
East Brunswick, NJ 08816-1413
Phone (732) 249-3100

Other names 1

  • Medcenter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070608000491 NJ Part B Supplier - Clinic/Group Practice 5193823524 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

51 W Prospect St
Ste 101
East Brunswick, NJ 08816
Phone (732) 390-0028

209 State Route 18
East Brunswick, NJ 08816
Phone (732) 249-3100

465 Cranbury Rd
Ste 104
East Brunswick, NJ 08816
Phone (732) 390-0028

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740351600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HIGHWAY 18 SOUTH",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161413",
            "telephone_number": "732-249-3100",
            "fax_number": "732-249-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGHWAY 18 SOUTH",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161413",
            "telephone_number": "732-249-3100",
            "fax_number": "732-249-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEHOLD PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABU",
        "authorized_official_first_name": "SARATH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "732-249-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06622000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.