Amwell Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07281400 Issued in NJ

Legal business name

AMWELL MEDICAL CENTER LLC

Doing business as

Ranjana Thakur

Practice address

390 Amwell Rd
Suite 101
Hillsborough, NJ 08844

Phone

(908) 431-9911

Fax

(908) 431-9937

NPI assigned

Feb 20, 2007

Last updated

Jun 17, 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

Mrs. Ranjana Thakur, MDNPI 1780732552

Title

Sole Proprietor

Phone

(908) 431-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ranjana Thakur Doing business as

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.

• Ranjana Thakur, MD

  • Internal Medicine Physician
  • Hillsborough, NJ
  • NPI 1780732552
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811032725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-9911",
            "fax_number": "908-431-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-9911",
            "fax_number": "908-431-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMWELL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "RANJANA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "908-431-9911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07281400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8696004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranjana Thakur",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Claire Ambrose, MA, CF-SLP
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• Amwell Chiropractic Care LLC
• Amwell Health Center PC
• Amwell Pharmacy Inc. (Amwell Pharmacy)
• Anchor Care LLC
• Andrea Anderson
• Sidona Lynn Anderson
• Aneres Pulmonary and Sleep

• Internal Medicine Physician in Hillsborough, NJ
• Providers in Hillsborough, 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 Jun 17, 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.