Provider Demographics
NPI:1083853584
Name:EVEREST MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:EVEREST MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHASHI
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-725-0365
Mailing Address - Street 1:285 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3711
Mailing Address - Country:US
Mailing Address - Phone:908-725-0365
Mailing Address - Fax:908-394-2624
Practice Address - Street 1:757 ROUTE 202/206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1763
Practice Address - Country:US
Practice Address - Phone:908-725-0365
Practice Address - Fax:908-394-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-07
Last Update Date:2009-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07211300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty