Organization Active NPI

Gurvindra Singh Johal DO PA Inc.

Doing business as Medicenter of Edison

  • Emergency Medicine Physician
  • Edison, NJ
National Provider Identifier
1952419871
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MBO6533000 Issued in NJ
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 25MBO6533000 NJ Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MAO4637200 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.