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MY MD GROUP LLC NPI 1811121916


NPI Information

NPI: 1811121916
Provider Name: MY MD GROUP LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D1015964

Address:
19 N COUNTY LINE RD
JACKSON, NJ
ZIP 08527
Phone: (732) 901-8880
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MY MD GROUP LLC is an internal medicine in Jackson, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MY MD GROUP LLC NPI is 1811121916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19 N COUNTY LINE RD
JACKSON, NJ
ZIP 08527-255
Phone: (732) 901-8880
Fax: (732) 901-0882

The provider's authorized official is Nivedita Sharma .
The authorized official title is Medical Doctor and has the following contact phone number (732) 901-8880.

The CLIA number assigned to this NPI record is 31D1015964 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 2/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMA07276900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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