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MENLO PARK MEDICAL GROUP P.A.
NPI 1992727564
Internal Medicine - Cardiovascular Disease in Edison, NJ

Active since July 24, 2006CLIA 31D0124326 · Waiver
111 JAMES STREET, EDISON, NJ 08820(732) 549-2299(732) 549-2262 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Menlo Park Medical Group P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENLO PARK MEDICAL GROUP P.A. (NPI 1992727564) is a healthcare organization registered as a cardiovascular disease in Edison, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Grace Creighton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992727564
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMENLO PARK MEDICAL GROUP P.A.
Location Address111 JAMES STREETEdison, NJ 08820-3967
Mailing Address111 James StreetEdison, NJ 08820-3967 · (732) 549-2299 · Fax (732) 549-2262
Phone(732) 549-2299
Fax(732) 549-2262
Organization SubpartNo
Authorized OfficialGrace CreightonOffice Manager · (732) 549-2299
Enumeration DateJuly 24, 2006
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1992727564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X
111 JAMES STREET, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 1

Medicaid2627809NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0124326

Menlo Park Medical Group · Edison, NJ
Active · expires Aug 16, 2027
CLIA Number31D0124326
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorWarren G. Buck MD
Laboratory Phone(732) 549-2299
Laboratory LocationMenlo Park Medical Group111 James St, Edison, NJ 08820
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GIRIJA GOPAL BHAKEY MD
Internal Medicine
111 JAMES STREET
EDISON, NJ 08820
Middlesex County (732) 549-2299
DR. WARREN GREGORY BUCK MD
Internal Medicine (Cardiovascular Disease)
111 JAMES STREET
EDISON, NJ 08820
Middlesex County (732) 549-2299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Menlo Park Medical Group P.A.'s NPI number?

The NPI number for Menlo Park Medical Group P.A. is 1992727564. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Menlo Park Medical Group P.A. located?

Menlo Park Medical Group P.A. is located at 111 James Street, Edison, NJ 08820. The listed phone number is (732) 549-2299.

What is Menlo Park Medical Group P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Menlo Park Medical Group P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0124326) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Menlo Park Medical Group P.A. was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.