Organization Active NPI

Middlesex Medical Care PC

  • Internal Medicine Physician
  • Middlesex, NJ
National Provider Identifier
1912986761
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA061062 Issued in NJ
Legal business name
MIDDLESEX MEDICAL CARE PC
Practice address
619 Union Ave
Building 1 First Floor
Middlesex, NJ 08846-1963
Phone
(732) 356-3212
Fax
(732) 356-5002
NPI assigned
Jan 11, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Ms. Lori A. Carsgo
Title
Manager
Phone
(732) 356-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA061062 NJ Primary

Addresses

Primary practice location

619 Union Ave
Building 1 First Floor
Middlesex, NJ 08846-1963

Mailing address

619 Union Ave
Building 1 First Floor
Middlesex, NJ 08846-1963
Phone (732) 356-3212

Other identifiers 2

IdentifierTypeStateIssuer
41191OtherNJAETNA GROUP NUMBER
7520204MedicaidNJ

National Provider Directory

National Provider Directory

Locations

484 Union Ave
Middlesex, NJ 08846
Phone (732) 356-3212

619 Union Ave
Ste 1
Middlesex, NJ 08846
Phone (732) 356-3212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14674/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1912986761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 UNION AVE",
            "address_2": "BUILDING 1 FIRST FLOOR",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461963",
            "telephone_number": "732-356-3212",
            "fax_number": "732-356-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 UNION AVE",
            "address_2": "BUILDING 1 FIRST FLOOR",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461963",
            "telephone_number": "732-356-3212",
            "fax_number": "732-356-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "CARSGO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-356-3212",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA061062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NUMBER",
            "identifier": "41191",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7520204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.