Sparkle Medical Pa

LBN: Sparkle Medical Pa
Sparkle Medical Pa is an health care organization with primary practice located at 1550 Park Avenue Suit 104, South Plainfield NJ 07080. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sparkle Medical Pa can be contacted via phone (908) 548-8355, or through Rao, Seema S via phone (908) 548-8355.

Contact Information

Primary practice address
1550 Park Avenue Suit 104 South Plainfield NJ 07080
Phone: (908) 548-8355
Fax: (908) 548-8359
Website:
Map and Directions
Authorized official contact:
Name: Rao, Seema S Doctor of Medicine (MD)
Phone: (908) 548-8355

Health care specialties

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

Profile Details

NPI number 1356580468
LBN Legal business name Sparkle Medical Pa
DBA Doing business as
Authorized official Rao, Seema S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Apr 4th, 2014 - 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 1356580468 NPPES
New Jersey MEDICAID 0220868

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