NPIMap

Organization Active NPI

Saroj K. Verma

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1821473919
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085005506 Issued in IL
Legal business name
SAROJ K. VERMA
Practice address
10701 S Ewing Ave
Chicago, IL 60617-6606
Phone
(773) 721-4900
Fax
(773) 721-8963
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Marti G Grogan
Title
Office Manager
Phone
(773) 721-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 085005506 IL Primary

Addresses

Primary practice location

10701 S Ewing Ave
Chicago, IL 60617-6606

Mailing address

10701 S Ewing Ave
Chicago, IL 60617-6606

National Provider Directory

National Provider Directory
Tax ID family
Saroj K Verma2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1821473919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S EWING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176606",
            "telephone_number": "773-721-4900",
            "fax_number": "773-721-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAROJ K. VERMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-721-4900"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.