Active NPI
Jersey DTX LLC
- Neurology Physician
- Old Bridge, NJ
National Provider Identifier
1972380285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- JERSEY DTX LLC
- Practice address
- 14 Woodward Dr Ste 1a
Old Bridge, NJ 08857-3374 - Phone
- (732) 360-2888
- NPI assigned
- Sep 11, 2023
- 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
- Padmarekha Rao, MD
- Title
- Director
- Phone
- (732) 360-2888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
14 Woodward Dr Ste 1a
Old Bridge, NJ 08857-3374
Mailing address
14 Woodward Dr Ste 1a
Old Bridge, NJ 08857-3374
Phone (732) 360-2888
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Old Bridge, NJ
- NPI 1831650555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1972380285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WOODWARD DR STE 1A",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573374",
"telephone_number": "732-360-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WOODWARD DR STE 1A",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573374",
"telephone_number": "732-360-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY DTX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "PADMAREKHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-360-2888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.