Provider Demographics
NPI:1982708533
Name:MEDICAL ASSOCIATES AT HAMILTON, P.C
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES AT HAMILTON, P.C
Other - Org Name:MEDICAL ASSOCIATES AT HAMILTON, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBINA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-581-2512
Mailing Address - Street 1:1235 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:STE 306
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-581-9000
Mailing Address - Fax:609-585-7228
Practice Address - Street 1:1235 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:STE 306
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-581-9000
Practice Address - Fax:609-585-7228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1959820OtherUNITED HEALTHCARE
NJ7481209Medicaid
NJ0477454000OtherAMERIHEALTH
NJ049827Medicare Oscar/Certification
NJ0477454000OtherAMERIHEALTH