Individual provider Active NPI

Karambir Singh Dalal, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Whiting, NJ
National Provider Identifier
1881695757
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA065901 Issued in NJ
Practice address
63 Lacey Rd
Suitef
Whiting, NJ 08759-2966
Phone
(732) 849-1075
Fax
(732) 849-1076
NPI assigned
Aug 2, 2005
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA065901 NJ Primary

Addresses

Primary practice location

63 Lacey Rd
Suitef
Whiting, NJ 08759-2966

Mailing address

63 Lacey Rd
Suite F
Whiting, NJ 08759-2966
Phone (732) 849-1075

Other identifiers 1

IdentifierTypeStateIssuer
7312806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000880 NJ Practitioner - Internal Medicine 7810968401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 B Lacey Rd
Whiting, NJ 08759-3549

401 Lacey Rd
Whiting, NJ 08759-1386
Phone (732) 849-1075

401 Lacey Rd
Suite B
Whiting, NJ 08759-3549

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA065901NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Medical Group,P.a. CurrentSince May 26, 2004 Accepting new patients
Omg Senior Care LLC Geriatric Medicine CurrentSince Jul 22, 2022 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Sunanda Krishna, M.D., LLC PastSince Feb 1, 2010 Accepting new patients
Complete Care at Whiting LLC Past Accepting new patients
Ocean Adult Medical Group, L.L.C. Past Accepting new patients
Whiting Gardens Rehabilitation and Nursing Center LLC Past Accepting new patients
Family Community Medicine LLC Past Accepting new patients

Locations

401 Lacey Rd
#B
Whiting, NJ 08759
Phone (732) 849-1075

401 Lacey Rd
Ste B
Whiting, NJ 08759
Phone (732) 849-1075

63 Lacey Rd
Ste F
Whiting, NJ 08759
Phone (732) 849-1075

Interoperability endpoints

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1881695757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LACEY RD",
            "address_2": "SUITE F",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592966",
            "telephone_number": "732-849-1075",
            "fax_number": "732-849-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LACEY RD",
            "address_2": "SUITEF",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592966",
            "telephone_number": "732-849-1075",
            "fax_number": "732-849-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "KARAMBIR",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA065901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7312806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.