Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Menlo Park Medical Group PA

Organization Internal Medicine Physician · NPI 1992727564

Menlo Park Medical Group PA is an Internal Medicine Physician in Edison, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 James St
Edison, NJ 08820-3967
Phone: (732) 549-2299
Fax: (732) 549-2262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1992727564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Creighton — Office Manager · (732) 549-2299
NPI enumeratedJuly 24, 2006
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address111 James Street, Edison, NJ 08820-3967

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