Active NPI
K Ratkalkar & E Mezic M D P a
- Internal Medicine Physician
- Old Bridge, NJ
National Provider Identifier
1841966348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- K RATKALKAR & E MEZIC M D P A
- Practice address
- 26 Throckmorton LN
Old Bridge, NJ 08857-2578 - Phone
- (732) 679-9961
- Fax
- (732) 679-9957
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kishore Ratkalkar, MD
- Title
- President
- Phone
- (732) 679-9950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
26 Throckmorton LN
Old Bridge, NJ 08857-2578
Mailing address
26 Throckmorton LN
Old Bridge, NJ 08857-2578
Phone (732) 679-9961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437218435 | Other | NJ | 1437218435 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1841966348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 THROCKMORTON LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572578",
"telephone_number": "732-679-9961",
"fax_number": "732-679-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 THROCKMORTON LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572578",
"telephone_number": "732-679-9961",
"fax_number": "732-679-9957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K RATKALKAR & E MEZIC M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "RATKALKAR",
"authorized_official_first_name": "KISHORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-679-9950",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1437218435",
"identifier": "1437218435",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.