Individual provider Active NPI

Mrunalini Raghunath Chavarkar, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Flemington, NJ
National Provider Identifier
1003086398
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
25 MA08800100 Issued in NJ
Practice address
2100 Wescott Dr
Flemington, NJ 08822-4603
Phone
(908) 788-6100
NPI assigned
Mar 3, 2008
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 25 MA08800100 NJ Primary

Addresses

Primary practice location

2100 Wescott Dr
Flemington, NJ 08822-4603

Mailing address

3 Brennan Way
Hillsborough, NJ 08844-7056
Phone (201) 600-9772

Other identifiers 1

IdentifierTypeStateIssuer
1005126MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000446 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8224282975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25 MA08800100NJMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. CurrentSince Oct 9, 2012 Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Hunterdon Specialty Care, PC Neonatal-Perinatal Medicine Past Accepting new patients

Locations

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

Interoperability endpoints

  • Direct secure messaging: mchavarkar496797@direct.ahsys.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1003086398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRENNAN WAY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088447056",
            "telephone_number": "201-600-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARKAR",
        "first_name": "MRUNALINI",
        "middle_name": "RAGHUNATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25 MA08800100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005126",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.