NPIMap

Organization Active NPI

Central Jersey Internal Medicine Associates,PA

  • Internal Medicine Physician
  • Somerset, NJ
National Provider Identifier
1962427484
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTRAL JERSEY INTERNAL MEDICINE ASSOCIATES,PA
Practice address
75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Phone
(732) 828-0002
Fax
(732) 828-7070
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Dr. Deepak K Jain, MDNPI 1356368823
Title
Chief Financial Officer
Phone
(732) 828-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Phone (732) 828-0002

Other identifiers 3

IdentifierTypeStateIssuer
01043636OtherNJLICENSE
25MA07954700OtherNJCHRISTINA WANG-EPSTEIN MD
25MA08763000OtherNJLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000059 NJ Part B Supplier - Clinic/Group Practice 9830171131 Receives reassigned benefits from 12 practitioners
Practice locations: Monroe Township, NJ; Somerset, NJ

National Provider Directory

National Provider Directory

Locations

111 Union Valley Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-2255

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1962427484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-828-0002",
            "fax_number": "732-828-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE",
            "address_2": "SUITE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-828-0002",
            "fax_number": "732-828-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY INTERNAL MEDICINE ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "732-828-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01043636",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTINA WANG-EPSTEIN MD",
            "identifier": "25MA07954700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA08763000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.