Organization Active NPI

Roosevelt Medical Center , L.L.C

  • Pulmonary Disease Physician
  • Carteret, NJ
National Provider Identifier
1861749707
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ROOSEVELT MEDICAL CENTER , L.L.C
Practice address
1383 Roosevelt Ave Apt 1a
Carteret, NJ 07008-1370
Phone
(732) 541-2141
Fax
(732) 541-1038
NPI assigned
Aug 9, 2012
Organization subpart
Yes
Parent organization
ROSSEVELT MEDDICAL CENTER,L.L.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Ms. Anushka Singh
Title
Credentailing Coordinator
Phone
(732) 541-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1383 Roosevelt Ave Apt 1a
Carteret, NJ 07008-1370

Mailing address

1383 Roosevelt Ave Apt 1a
Carteret, NJ 07008-1370
Phone (732) 541-2141

Other identifiers 1

IdentifierTypeStateIssuer
0308692MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121025000074 NJ Part B Supplier - Clinic/Group Practice 6800046020 Receives reassigned benefits from 2 practitioners
Practice locations: Carteret, NJ

National Provider Directory

National Provider Directory
Part of
Roosevelt Medical Center LLC

Locations

237 Roosevelt Ave
Carteret, NJ 07008
Phone (732) 541-2141

Practitioners & affiliated clinicians

Practitioners 4

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1861749707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 ROOSEVELT AVE APT 1A",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081370",
            "telephone_number": "732-541-2141",
            "fax_number": "732-541-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 ROOSEVELT AVE APT 1A",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081370",
            "telephone_number": "732-541-2141",
            "fax_number": "732-541-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT MEDICAL CENTER , L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSSEVELT MEDDICAL CENTER,L.L.C",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ANUSHKA",
        "authorized_official_title_or_position": "CREDENTAILING COORDINATOR",
        "authorized_official_telephone_number": "732-541-2141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308692",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.