Active NPI
Roli Kushwaha
- Emergency Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA11045900
- Practice address
- 119 Oakfield Dr
Brandon, FL 33511-5779 - Phone
- (813) 681-5551
- Fax
- (813) 916-2944
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA11045900 | NJ | Primary |
Addresses
Primary practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Mailing address
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
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
- Emergency Medicine
- Education
- Other, 2017
- 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 (954) 939-5000
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Montclair Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Emergency Medicine | Current | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- rkushwaha828225@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1851979470
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
dba Jersey City Medical Center/AMB
- Ambulance
- Jersey City, NJ
- NPI 1871738021
Hospital
-
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": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1033607759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115779",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHWAHA",
"first_name": "ROLI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA11045900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.