Provider Demographics
NPI:1568556751
Name:SOMAR, ROHAN (MD)
Entity Type:Individual
Prefix:
First Name:ROHAN
Middle Name:
Last Name:SOMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GREEN MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2987
Mailing Address - Country:US
Mailing Address - Phone:908-304-9777
Mailing Address - Fax:908-393-9654
Practice Address - Street 1:12 GREEN MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2987
Practice Address - Country:US
Practice Address - Phone:908-304-9777
Practice Address - Fax:908-393-9654
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA57632207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5346801Medicaid
F43057Medicare UPIN
930118055Medicare PIN
NJ025990QJ2Medicare PIN