Provider Demographics
NPI:1164587283
Name:MIDSTATE RHEUMATOLOGY CENTER
Entity Type:Organization
Organization Name:MIDSTATE RHEUMATOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAWSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJMEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-431-4335
Mailing Address - Street 1:PO BOX 7378
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7378
Mailing Address - Country:US
Mailing Address - Phone:732-431-4335
Mailing Address - Fax:732-431-4771
Practice Address - Street 1:508 LAKEHURST RD
Practice Address - Street 2:SUITE 1 A
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8000
Practice Address - Country:US
Practice Address - Phone:732-431-4335
Practice Address - Fax:732-431-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH13077Medicare UPIN