Rasik M. Jivani MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA55789 Issued in NJ

Legal business name

RASIK M. JIVANI MD PA

Practice address

611 Route 539
Cream Ridge, NJ 08514-2334

Phone

(609) 758-3200

NPI assigned

Jul 20, 2008

Last updated

Jul 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rasik M. Jivani, MD, PANPI 1265476576

Title

President

Phone

(609) 758-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Rasik Jivani, M.D.

  • Internal Medicine Physician
  • Cream Ridge, NJ
  • NPI 1265476576
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216512000000",
    "number": "1801051818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROUTE 539",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROUTE 539",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142334",
            "telephone_number": "609-758-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASIK M. JIVANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-07-20",
        "status": "A",
        "authorized_official_last_name": "JIVANI",
        "authorized_official_first_name": "RASIK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-758-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard B Siegell I
• Giuseppina Szbanz, APP

• Internal Medicine Physician in Cream Ridge, NJ
• Providers in Cream Ridge, 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 Jul 20, 2008; 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.