Active NPI
Kulvir Singh Nandra, M.D.
- Colon & Rectal Surgery Physician
- Glen Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 25MA10825000
- Practice address
- 311 Bay Ave
Glen Ridge, NJ 07028-1607 - Phone
- (973) 798-4777
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 25MA10825000 | NJ | Primary |
Addresses
Primary practice location
311 Bay Ave
Glen Ridge, NJ 07028-1607
Mailing address
PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Florida State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (201) 781-1387
622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Current | Accepting new patients |
Locations
311 Bay Ave
Glen Ridge, NJ 07028
Phone (973) 748-9166
Interoperability endpoints
- knandra456528@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1033538202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419430",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419430",
"telephone_number": "201-967-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 BAY AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281607",
"telephone_number": "973-798-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDRA",
"first_name": "KULVIR",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NJ",
"license": "25MA10825000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
- Montclair Urological Group
- Morning Star Supportive Services Corporation
- Tara L Moyle
- Jessica Hope Muney
- George Naaman, MD, DO
- Naveen Ballem, MD LLC (New Jersey Center For Advanced Surgical Weight Loss)
- Neurological Consultants PA
- New Jersey Laproscopic Associates LLC
- Michele Nitti, DO
- Sangbaek Charles Oh, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.