Provider Demographics
NPI:1295919066
Name:COMPLETE PRIMARY CARE, P.A.
Entity type:Organization
Organization Name:COMPLETE PRIMARY CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RABIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZEHZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-226-1810
Mailing Address - Street 1:1810 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5522
Mailing Address - Country:US
Mailing Address - Phone:908-226-1810
Mailing Address - Fax:908-226-1833
Practice Address - Street 1:1810 PARK AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5522
Practice Address - Country:US
Practice Address - Phone:908-226-1810
Practice Address - Fax:908-226-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA079401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI44480Medicare UPIN
NJ128692Medicare PIN