ACADEMIC ICU DOC, PA


Address: 5 Rushton Ct, West Windsor, NJ 08550-3320
Phone: 9084643636

ACADEMIC ICU DOC, PA (NPI# 1558730705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558730705
Entity Type Organization
Organization Name ACADEMIC ICU DOC, PA
Practice Address 5 Rushton Ct
West Windsor
NJ 08550-3320
Practice Telephone 9084643636
Practice Fax Number 9084646711
Mailing Telephone 9084643636
Mailing Fax Number 9084646711
Enumeration Date 2015-09-17
Last Update Date 2016-02-17
Authorized Official Name SRI SUJANTHY RAJARAM (PRESIDENT)
Authorized Official Telephone 9084643636
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ STATE ID 0450016696 01

Office Location

Street Address 5 RUSHTON CT
City WEST WINDSOR
State NJ
Zip Code 08550-3320

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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1548712847 Magdy Wahba, Md Internal Medicine 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 2016-11-03
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1881011237 Hany Abdallah Internal Medicine 27 Elm St Apt 3, Madison, NJ 07940-1553 2014-03-24
1952723132 Deborah Kim Internal Medicine 51 French St # 491b, New Brunswick, NJ 08901 2014-01-07
1225459969 Aloke Chakravarti Internal Medicine 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 2013-12-24
1184962227 Salem Pulmonary, Critical Care and Sleep Medicine, LLC Internal Medicine 18 Lansbrook Ct, Sewell, NJ 08080-4113 2013-01-24
1194086694 Kristen Denise Scatliffe Internal Medicine 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 2012-05-31
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Competitor

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City WEST WINDSOR
Zip Code 08550

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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