NPIMap

Organization Active NPI

Regional Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Pleasantville, NJ
National Provider Identifier
1982763371
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06763700 Issued in NJ
Legal business name
REGIONAL INTERNAL MEDICINE ASSOCIATES, PC
Practice address
1004 S New Rd
Pleasantville, NJ 08232-3730
Phone
(609) 652-4141
Fax
(609) 652-9939
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Dr. Rafat Sultana Choudhry, M.D.NPI 1467538835
Title
Medical Doctor
Phone
(609) 652-4141

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 25MA06763700 NJ Primary

Addresses

Primary practice location

1004 S New Rd
Pleasantville, NJ 08232-3730

Mailing address

1004 South New Road
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090508000119 NJ Part B Supplier - Clinic/Group Practice 2163570706 Receives reassigned benefits from 3 practitioners
Practice locations: Galloway, NJ; Pleasantville, NJ

National Provider Directory

National Provider Directory

Locations

314 Chris Gaupp Dr
Ste 201
Galloway, NJ 08205
Phone (609) 404-7797

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

Practitioners & affiliated clinicians

Practitioners 7

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1982763371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SOUTH NEW ROAD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "RAFAT",
        "authorized_official_middle_name": "SULTANA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "609-652-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06763700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.