Active NPI
Anil Garg, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Washington, NJ
National Provider Identifier
1912922956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- MA047352
- Practice address
- 173 E Washington Ave
Washington, NJ 07882-1819 - Phone
- (908) 689-0547
- Fax
- (908) 689-0649
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MA047352 | NJ | Primary |
Addresses
Primary practice location
173 E Washington Ave
Washington, NJ 07882-1819
Mailing address
173 E Washington Ave
P.O. Box 338
Washington, NJ 07882-1819
Phone (908) 689-0547
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3767108 | Medicaid | NJ | |
| P2043536 | Other | NJ | OXFORD HEALTH |
| 1052196 | Other | NJ | HORIZONNEW JERSEY HEALTH |
| 203135 | Other | AL | USFHP |
| 1K3464 | Other | NJ | ACS/HEALTHNET |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060113000069 | NJ | Practitioner - Internal Medicine | 0749203966 | Practice locations: Washington, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00 | NJ | MD | Internal Medicine Physician |
| MA047352 | NJ | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912922956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 E WASHINGTON AVE",
"address_2": "P.O. BOX 338",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078821819",
"telephone_number": "908-689-0547",
"fax_number": "908-689-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 E WASHINGTON AVE",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078821819",
"telephone_number": "908-689-0547",
"fax_number": "908-689-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARG",
"first_name": "ANIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NJ",
"license": "MA047352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3767108",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "P2043536",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZONNEW JERSEY HEALTH",
"identifier": "1052196",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USFHP",
"identifier": "203135",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS/HEALTHNET",
"identifier": "1K3464",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, NJ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.