Provider Demographics
NPI:1972639474
Name:BARNEGAT MEDICAL ASSOCIATES P A
Entity Type:Organization
Organization Name:BARNEGAT MEDICAL ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-978-8411
Mailing Address - Street 1:41 NAUTILUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050
Mailing Address - Country:US
Mailing Address - Phone:609-978-0474
Mailing Address - Fax:609-978-1476
Practice Address - Street 1:44 NAUTILUS DR STE 2B
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2466
Practice Address - Country:US
Practice Address - Phone:609-978-0474
Practice Address - Fax:609-597-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55459207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6043500Medicaid
NJ749644Medicare ID - Type Unspecified