Lilly P Rathi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04014200 Issued in NJ

Practice address

442 A Bordentown Avenue
Lilly P Rathi MD
South Amboy, NJ 08879

Phone

(732) 727-6777

Fax

(732) 422-4129

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912006982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 A BORDENTOWN AVENUE",
            "address_2": "LILLY P RATHI MD",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-727-6777",
            "fax_number": "732-422-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 A BORDENTOWN AVENUE",
            "address_2": "LILLY P RATHI MD",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-727-6777",
            "fax_number": "732-422-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHI",
        "first_name": "LILLY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "04014200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in South Amboy, NJ
• Providers in South Amboy, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.