NJ Internal Medicine Associates LLC

Organization Active NPI Internal Medicine Physician · Linwood, NJ

NPI 1790347482 · NPPES record last updated Jul 2, 2019

Key facts

NPI
1790347482
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
NJ INTERNAL MEDICINE ASSOCIATES LLC
Practice address
5 Seagarden Dr
Linwood, NJ 08221-2162
Phone
(609) 892-5262
NPI assigned
Jul 2, 2019
Organization subpart
No

Authorized official

Name
Pujan N Parikh, M.D NPI 1083156178
Title
President
Phone
(609) 892-5262

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190912002290 NJ Part B Supplier - Clinic/Group Practice 2769711902 Receives reassigned benefits from 1 practitioner
Practice locations: Linwood, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

5 Seagarden Dr
Linwood, NJ 08221-2162

Mailing address

5 Seagarden Dr
Linwood, NJ 08221-2162
Phone (609) 892-5262

Other providers in Linwood, NJ

All providers in Linwood, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.