Provider Demographics
NPI:1891737680
Name:CAREFIRST LLC
Entity Type:Organization
Organization Name:CAREFIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-356-7600
Mailing Address - Street 1:97 CEDAR GROVE LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1377
Mailing Address - Country:US
Mailing Address - Phone:732-356-7600
Mailing Address - Fax:732-356-7625
Practice Address - Street 1:97 CEDAR GROVE LN
Practice Address - Street 2:SUITE 203
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1377
Practice Address - Country:US
Practice Address - Phone:732-356-7600
Practice Address - Fax:732-356-7625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07008900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH34611Medicare UPIN
NJ081496Medicare ID - Type UnspecifiedMEDICARE