Organization Active NPI

Raritan Valley Medical Group,LLC

  • Family Medicine Physician
  • Branchburg, NJ
National Provider Identifier
1811039522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06090600 Issued in NJ
Legal business name
RARITAN VALLEY MEDICAL GROUP,LLC
Practice address
3322 US Highway 22
Building 11, Suite 1101
Branchburg, NJ 08876-3476
Phone
(908) 595-1292
Fax
(908) 595-1012
NPI assigned
Feb 12, 2007
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
Dr. Thomas A Shaffrey, MD
Title
Owner
Phone
(908) 595-1292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA06090600 NJ Primary

Addresses

Primary practice location

3322 US Highway 22
Building 11, Suite 1101
Branchburg, NJ 08876-3476

Mailing address

3322 US Highway 22
Building 11, Suite 1101
Branchburg, NJ 08876-3476
Phone (908) 595-1292

National Provider Directory

National Provider Directory

Locations

3322 US Highway 22 W
Ste 1101
Branchburg, NJ 08876
Phone (908) 575-7400

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811039522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22",
            "address_2": "BUILDING 11, SUITE 1101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-595-1292",
            "fax_number": "908-595-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22",
            "address_2": "BUILDING 11, SUITE 1101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-595-1292",
            "fax_number": "908-595-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN VALLEY MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFREY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-595-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06090600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.