Provider Demographics
NPI:1386970291
Name:HOSPTIAL CARE INTERNISTS LLC
Entity type:Organization
Organization Name:HOSPTIAL CARE INTERNISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ANANDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVARAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-251-5114
Mailing Address - Street 1:230 W END AVE
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-2153
Mailing Address - Country:US
Mailing Address - Phone:908-251-5114
Mailing Address - Fax:
Practice Address - Street 1:99 BEAUVOIR AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3533
Practice Address - Country:US
Practice Address - Phone:908-522-2000
Practice Address - Fax:908-522-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI25255Medicare UPIN