NJ Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08458400 Issued in NJ

Legal business name

NJ PRIMARY CARE PC

Practice address

500 Summit Ave
Union City, NJ 07087-3421

Phone

(973) 239-1600

NPI assigned

Mar 25, 2015

Last updated

Aug 25, 2020By 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. Deval Gadhvi, MDNPI 1518119700

Title

Owner/Physician

Phone

(201) 902-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGIDCD

Practitioners 6

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.

• Deval P Gadhvi, M.D

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1518119700
  Medicare reassignment Care Compare group NPD Authorized official
• Prahlad H Gadhavi, MD

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1326201641
  Medicare reassignment Care Compare group NPD
• Saroj Sehgal, M.D.

  • Pulmonary Disease Physician
  • Newark, NJ
  • NPI 1871512616
  Medicare reassignment NPD
• Madhu Suryadevara, M.D.

  • Infectious Disease Physician
  • Newark, NJ
  • NPI 1578906772

  Internal Medicine

  Medicare reassignment NPD
• Harshad Chaudhari, M.D.

  • Nephrology Physician
  • Newark, NJ
  • NPI 1831551530
  Medicare reassignment
• Armyl Joseph Ruiz Marquez

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1548522550
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1821482175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HUDSON ST STE 145",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073111220",
            "telephone_number": "201-360-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873421",
            "telephone_number": "973-239-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "GADHVI",
        "authorized_official_first_name": "DEVAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "201-902-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08458400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180998",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Union City, NJ
• Providers in Union City, 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 Aug 25, 2020; 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.