Active NPI
Gurvindra Singh Johal DO PA Inc.
Doing business as Medicenter of Edison
- Emergency Medicine Physician
- Edison, NJ
National Provider Identifier
1952419871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MBO6533000
- Legal business name
- GURVINDRA SINGH JOHAL DO PA INC.
- Doing business as
- Medicenter of Edison
- Practice address
- 1813 Oak Tree Rd
Edison, NJ 08820-2740 - Phone
- (908) 769-9494
- Fax
- (908) 755-3833
- NPI assigned
- Aug 29, 2006
- Last updated
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Binita Patel
- Title
- Billing Manager
- Phone
- (732) 290-1014
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MBO6533000 | NJ | Primary |
| Family Medicine Physician | 207Q00000X | 25MAO4637200 | NJ | |
| Internal Medicine Physician | 207R00000X | MAO4582200 | NJ |
Addresses
Primary practice location
1813 Oak Tree Rd
Edison, NJ 08820-2740
Mailing address
1813 Oak Tree Rd
Edison, NJ 08820-2740
Phone (908) 769-9494
Other names 1
- Medicenter of Edison
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Southfield, MI
- NPI 1932317260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1952419871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 OAK TREE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202740",
"telephone_number": "908-769-9494",
"fax_number": "908-755-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 OAK TREE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202740",
"telephone_number": "908-769-9494",
"fax_number": "908-755-3833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURVINDRA SINGH JOHAL DO PA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "BINITA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "732-290-1014"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MBO6533000",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MAO4637200",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MAO4582200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicenter of Edison",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.