Individual provider Active NPI

Nidhi Kakar, P.A

  • Medical Physician Assistant
  • Freehold, NJ
National Provider Identifier
1013295989
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00215600 Issued in NJ
Practice address
901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone
(609) 921-9001
NPI assigned
Jul 26, 2011
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00215600 NJ Primary

Addresses

Primary practice location

901 W Main St Ste 267
Freehold, NJ 07728-2537

Mailing address

901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Other practice location 1

59 Route 516
Old Bridge, NJ 08857-1416
Phone (732) 613-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address n.kakar@pbs.eclinicaldiectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401000808 NJ Practitioner - Physician Assistant 2264849686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (732) 677-3733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
83.6
Promoting interoperability
99
Improvement activities
40
Cost
72.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Brain & Spine, LLC CurrentSince Apr 5, 2021 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Apr 5, 2021 Accepting new patients

Locations

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648
Phone (609) 585-6100

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFJAA/Endpoint/ACFJAA

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1013295989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Route 516",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088571416",
            "country_code": "US",
            "telephone_number": "732-613-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKAR",
        "first_name": "NIDHI",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00215600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "n.kakar@pbs.eclinicaldiectplus.com",
            "affiliation": "N",
            "address_1": "901 W Main St Ste 267",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.