P.G. Medical Associates Pa

LBN: P.G. Medical Associates Pa
P.G. Medical Associates Pa is an health care organization with primary practice located at 31 Seven Bridges Rd , Little Silver NJ 07739-1634. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. P.G. Medical Associates Pa can be contacted via phone (732) 741-4668, or through Gourkanti, Rao S via phone (732) 741-4668.

Contact Information

Primary practice address
31 Seven Bridges Rd Little Silver NJ 07739-1634
Phone: (732) 741-4668
Fax: (732) 219-1681
Website:
Map and Directions
Authorized official contact:
Name: Gourkanti, Rao S Doctor of Medicine (MD)
Phone: (732) 741-4668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA55303 New Jersey

Profile Details

NPI number 1124154968
LBN Legal business name P.G. Medical Associates Pa
DBA Doing business as
Authorized official Gourkanti, Rao S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124154968 NPPES
New Jersey MEDICAID 0074047
New Jersey MEDICAID 4620305

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