Provider Demographics
NPI:1922440585
Name:CENTRAL JERSEY HEALTH CARE PC
Entity Type:Organization
Organization Name:CENTRAL JERSEY HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SUKHJENDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:GORAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-688-0133
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:732-541-6521
Mailing Address - Fax:908-688-4599
Practice Address - Street 1:712 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3938
Practice Address - Country:US
Practice Address - Phone:732-541-6521
Practice Address - Fax:908-688-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06683900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty