Active NPI
Abolghassem Garmkhorani, M.D.
- Internal Medicine Physician
- Freehold, NJ
National Provider Identifier
1851332704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA059627
- Practice address
- 3333 Route 9
Chadwick Square
Freehold, NJ 07728-8503 - Phone
- (732) 683-1975
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA059627 | NJ | Primary |
Addresses
Primary practice location
3333 Route 9
Chadwick Square
Freehold, NJ 07728-8503
Mailing address
3333 Route 9
Chadwick Square
Freehold, NJ 07728-8503
Phone (732) 683-1975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 639005 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059627 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Doctors of New Jersey, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Toms River, NJ
- NPI 1720234982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1851332704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 ROUTE 9",
"address_2": "CHADWICK SQUARE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288503",
"telephone_number": "732-683-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 ROUTE 9",
"address_2": "CHADWICK SQUARE",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288503",
"telephone_number": "732-683-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARMKHORANI",
"first_name": "ABOLGHASSEM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA059627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "639005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.