1265457212 NPI number — RIMMI SOBTI MD INC

Table of content: (NPI 1265457212)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265457212 NPI number — RIMMI SOBTI MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIMMI SOBTI MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265457212
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
511 LAKEHURST RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOMS RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08755-8020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-797-0007
Provider Business Mailing Address Fax Number:
732-797-0063

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 LAKEHURST ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-797-0007
Provider Business Practice Location Address Fax Number:
732-797-0063
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SOBTI
Authorized Official First Name:
RIMMI
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-797-0007

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MA068592 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7160D14 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8466807 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6233759003 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2K1501 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: P1286166 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6233759001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 204617 . This is a "VSFHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2131928 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2203173 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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