Active NPI
Nivedita Bansal, MD
- Internal Medicine Physician
- Parsippany, NJ
National Provider Identifier
1033180880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08318700
- Practice address
- 1130 Route 46 West
Suite #2
Parsippany, NJ 07054 - Phone
- (973) 349-9338
- NPI assigned
- Jan 30, 2006
- Last updated
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08318700 | NJ | Primary |
Addresses
Primary practice location
1130 Route 46 West
Suite #2
Parsippany, NJ 07054
Mailing address
1130 Route 46 West
Suite #2
Parsippany, NJ 07054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307001125 | CA | Order and Referring Only - Internal Medicine | 7113916321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08318700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Consultants, P.C. | Internal Medicine | Past | Accepting new patients |
| Peoples Community Health Center, Inc | Past | Accepting new patients | |
| Peoples Community Health Center, Inc | Past | Accepting new patients | |
| Peoples Community Health Center, Inc | Past | Accepting new patients | |
| Internal Medicine Consultants PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Beaverton, OR
- NPI 1932147600
-
- Public Health & General Preventive Medicine Physician
- Portland, OR
- NPI 1003126475
Internal Medicine
-
dba People's Health at Women's Housing Coalition
- Community Health Clinic/Center
- Baltimore, MD
- NPI 1083905749
-
dba Yorkwood Medical Center
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1346218484
-
dba Pioneer City Health Center
- Federally Qualified Health Center (FQHC)
- Severn, MD
- NPI 1912976796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1033180880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 ROUTE 46 WEST",
"address_2": "SUITE #2",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "07054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 ROUTE 46 WEST",
"address_2": "SUITE #2",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "07054",
"telephone_number": "973-349-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "NIVEDITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08318700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.