| Jersey Medical Associates Inc | |
|
200,perrine Road,suite 206,old Bridge Prof.plaza Old Bridge NJ 07751 | |
| (732) 952-5693 | |
| (732) 952-5694 |
| Full Name | Jersey Medical Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200,perrine Road,suite 206,old Bridge Prof.plaza, Old Bridge, New Jersey |
| Authorized Official Name and Position | Vinutha Rajasekharaiah (OWNER) |
| Authorized Official Contact | 7329525693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Medical Associates Inc 200,perrine Road,suite 206,old Bridge Prof.plaza Old Bridge NJ 07751 Ph: (732) 952-5693 | Jersey Medical Associates Inc 200,perrine Road,suite 206,old Bridge Prof.plaza Old Bridge NJ 07751 Ph: (732) 952-5693 |
| NPI Number | 1912060930 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4385667096 |
|---|---|
| Medicare Enrollment ID | O20060111000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07380600 (New Jersey) | Primary |
| Provider Name | Vinutha Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437144979 PECOS PAC ID: 6204885593 Enrollment ID: I20050113000383 |
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