Individual provider Active NPI

Asha M Vijayakumar, M.D

  • Internal Medicine Physician
  • Clark, NJ
National Provider Identifier
1043389083
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07882600 Issued in NJ
Practice address
152 Central Ave
Clark, NJ 07066-1115
Phone
(732) 382-9700
Fax
(732) 382-9707
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care PC 50 clinicians

Practice addresses (Care Compare)

1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone (848) 230-6802

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060107000033 NJ Practitioner - Internal Medicine 2860415684 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07882600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of NJ LLC CurrentSince Dec 21, 2018 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Jul 1, 2019 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 3, 2020 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

2040 State Route 33
Neptune City, NJ 07753
Phone (732) 455-5800

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.ashavijayakumar@136290.advancedmd-direct.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07882600 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

152 Central Ave
Clark, NJ 07066-1115

Mailing address

35 Avenue I
Monroe, NJ 08831
Phone (908) 477-7011

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0121924MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2015.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1043389083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 AVENUE I",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "08831",
            "telephone_number": "908-477-7011",
            "fax_number": "888-808-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CENTRAL AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661115",
            "telephone_number": "732-382-9700",
            "fax_number": "732-382-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAKUMAR",
        "first_name": "ASHA",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07882600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121924",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.