Professional Associates of Jackson LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROFESSIONAL ASSOCIATES OF JACKSON LLC

Practice address

2105 W County Line Rd
Suite 4
Jackson, NJ 08527-2301

Phone

(732) 367-7575

Fax

(732) 364-0600

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mukesh Shah, M.D.NPI 1801867395

Title

Physician

Phone

(732) 367-7575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Mukesh Shah, M.D

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1801867395
  Medicare reassignment Care Compare group Authorized official
• Sanjay Kumar, MD

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1437120920
  Medicare reassignment Care Compare group
• Rocco Anthony Giliberti, D.O.

  • Internal Medicine Physician
  • Point Pleasant Beach, NJ
  • NPI 1013970086
  Medicare reassignment NPD
• Manjinder Sahi, NP

  • Family Nurse Practitioner
  • Neptune, NJ
  • NPI 1942757646
  Medicare reassignment NPD
• Helen De la Cruz Olairez, APN

  • Adult Health Nurse Practitioner
  • Brick, NJ
  • NPI 1346640174
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1760546352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE 4",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-367-7575",
            "fax_number": "732-364-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE 4",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-367-7575",
            "fax_number": "732-364-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSOCIATES OF JACKSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-367-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jackson, NJ
• Providers in Jackson, 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 Jan 28, 2013; 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.