Organization Active NPI

Barnegat Medical Associates P a

  • Internal Medicine Physician
  • Manahawkin, NJ
National Provider Identifier
1972639474
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA55459 Issued in NJ
Legal business name
BARNEGAT MEDICAL ASSOCIATES P A
Practice address
44 Nautilus Dr Ste 2B
Manahawkin, NJ 08050-2466
Phone
(609) 978-0474
Fax
(609) 597-6186
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Rajiv Sahay, MDNPI 1508879818
Title
President
Phone
(609) 978-8411

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 MA55459 NJ Primary

Addresses

Primary practice location

44 Nautilus Dr Ste 2B
Manahawkin, NJ 08050-2466

Mailing address

41 Nautilus Drive
Manahawkin, NJ 08050
Phone (609) 978-0474

Other identifiers 1

IdentifierTypeStateIssuer
6043500MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000863 NJ Part B Supplier - Clinic/Group Practice 1254320088 Receives reassigned benefits from 5 practitioners
Practice locations: Toms River, NJ; Manahawkin, NJ; Barnegat, NJ

National Provider Directory

National Provider Directory

Locations

218 Pocohontas Ave
Barnegat, NJ 08005
Phone (609) 698-3636

24 Nautilus Dr
Ste 78
Manahawkin, NJ 08050
Phone (609) 978-0474

41 Nautilus Dr
Ste 7
Manahawkin, NJ 08050

216 Commons Way
Bldg B
Toms River, NJ 08755
Phone (732) 505-9193

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1972639474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NAUTILUS DRIVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-978-0474",
            "fax_number": "609-978-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 NAUTILUS DR STE 2B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502466",
            "telephone_number": "609-978-0474",
            "fax_number": "609-597-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNEGAT MEDICAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SAHAY",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-978-8411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6043500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.