Individual provider Active NPI

Anuradha R Konkesa, MD

  • Nephrology Physician
  • Wayne, NJ
National Provider Identifier
1013908268
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA07818500 Issued in NJ
Practice address
246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160
Phone
(973) 653-3366
Fax
(973) 653-3365
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA07818500 NJ Primary

Addresses

Primary practice location

246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160

Mailing address

246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160
Phone (973) 653-3366

Other names 1

  • Anuradha R Konkesa Professional name

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
I20050119000642 NJ Practitioner - NephrologyPractitioner - Internal Medicine 7012966815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Jersey Nephrology Assoc. PAGroup PAC ID 7315908167, 15 clinicians

Practice addresses (Care Compare)

246 Hamburg Tpke
Suite 207
Wayne, NJ 07470-2160
Phone (973) 653-3366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
76.69

Merit-based Incentive Payment System (MIPS)

Final score
22.29 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07818500NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Nephrology Assoc. PA Nephrology CurrentSince Sep 20, 2019 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 1, 2021 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 1, 2021 Accepting new patients

Locations

50 Mount Prospect Ave
Ste 101
Clifton, NJ 07013
Phone (973) 574-9880

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

764 Main St
Ste 301
Paterson, NJ 07503

680 Broadway
Ste 506
Paterson, NJ 07514
Phone (973) 500-2399

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

230 W Parkway
Ste 10
Pompton Plns, NJ 07444
Phone (908) 442-7011

246 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (201) 796-1200

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: anuradha.konkesa@direct.davitaphysiciansolutions.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1013908268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 207",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-653-3366",
            "fax_number": "973-653-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 207",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-653-3366",
            "fax_number": "973-653-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKESA",
        "first_name": "ANURADHA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07818500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANURADHA",
            "last_name": "KONKESA",
            "middle_name": "R",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.