Provider Demographics
NPI:1326198953
Name:CENTRAL JERSEY HEALTH CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:CENTRAL JERSEY HEALTH CARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANDEEP
Authorized Official - Middle Name:S
Authorized Official - Last Name:OBEROI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-354-5353
Mailing Address - Street 1:240 WILLIAMSON ST
Mailing Address - Street 2:SUITE# 305
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3674
Mailing Address - Country:US
Mailing Address - Phone:908-354-5353
Mailing Address - Fax:908-351-6911
Practice Address - Street 1:240 WILLIAMSON ST
Practice Address - Street 2:SUITE# 305
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3674
Practice Address - Country:US
Practice Address - Phone:908-354-5353
Practice Address - Fax:908-351-6911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66667207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0007854Medicaid
NJ0007854Medicaid