Vadakara Internal Medicine Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VADAKARA INTERNAL MEDICINE ASSOCIATES PA

Practice address

2117 Klockner Rd
Hamilton, NJ 08690-3417

Phone

(609) 584-1001

Fax

(609) 584-0404

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lukose Vadakara, MD

Title

Physician

Phone

(609) 584-1001

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamid Mahmud, MD

  • Internal Medicine Physician
  • Voorhees, NJ
  • NPI 1083662589
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1952434052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-584-1001",
            "fax_number": "609-584-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903417",
            "telephone_number": "609-584-1001",
            "fax_number": "609-584-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADAKARA INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "VADAKARA",
        "authorized_official_first_name": "LUKOSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-584-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "58765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8018006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1110350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2144772001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "2946A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent Care of Mercer County
• Susan Urgiles
• Urology of Hamilton
• Qaisar Hasan Usmani, MD
• Ikenna Daniel Usonwu, MSN FNP-BC
• Laisa Lukose Vadakara, MD
• Lukose Simon Vadakara, MD
• Brianna Vadala, MS, CCC-SLP
• Sonam Vaishnani
• Maria Linda O Valencia, MD

• Internal Medicine Physician in Hamilton, NJ
• Providers in Hamilton, 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 May 6, 2010; 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.