MEDICARE: ROOTCARE MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598600256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTCARE MD LLC

Provider Business Mailing Address
First Line	:	971 US HIGHWAY 202 N UNIT 8089
Second Line	:
City	:	BRANCHBURG
State	:	NJ
Zip	:	08876-3757
Country	:	US
Telephone Number	:	609-709-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	490 LAKEHURST RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-8053
Country	:	US
Telephone Number	:	609-709-9888
Fax Number	:

Authorized Official
Title or Position	:	PREIDENT
Name	:	HARLEEN DHALIWAL
Credential	:	MD
Telephone Number	:	609-437-9363

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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