Active NPIIndividual providerSole proprietor

Ajit P Ponnambalam, MD

Internal Medicine in Toms River, New Jersey

NPI Number1790895548
Practice location
40 Bey Lea RD, B-102, Toms River, NJ 08753
Fax
732-244-4226
Last updated
September 13, 2007

Ajit P Ponnambalam is an Internal Medicine based in Toms River, NJ. Ajit P Ponnambalam practices in Toms River, NJ and has the professional credentials of MD. The NPI Number for Ajit P Ponnambalam is 1790895548 and holds a License No. 25 MA 05145700 (NJ). The current practice location address for Ajit P Ponnambalam is 40 Bey Lea RD, B-102, Toms River, NJ 08753 and can be reached out via phone at 732-244-4994 and via fax at 732-244-4226.

Provider Profile Details

NPI Number
1790895548
Provider Name
Ajit P Ponnambalam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Bey Lea RD, B-102, Toms River, NJ 08753
Phone Number
732-244-4994
Fax Number
732-244-4226
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 30, 2006
Last Update Date
September 13, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Bey Lea RD
B-102
Toms River, NJ 08753
Zip
08753
Phone Number
732-244-4994
Fax Number
732-244-4226
Toms River, NJ 08753Get directions →

Provider Business Mailing Address Details

Address
40 Bey Lea RD
B-102
Toms River, NJ 08753
City
Toms River
State
NJ
Zip
08753
Phone Number
732-244-4994
Fax Number
732-244-4226

License Information

License Number
25 MA 05145700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ajit P Ponnambalam, MD?

The NPI number of Ajit P Ponnambalam, MD is 1790895548. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Ajit P Ponnambalam, MD?

Ajit P Ponnambalam, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25 MA 05145700.

Where does Ajit P Ponnambalam, MD practice?

The practice location is 40 Bey Lea RD, B-102, Toms River, NJ 08753. The office can be reached at 732-244-4994 (phone) or 732-244-4226 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790895548 directly on the NPPES registry website.

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