Active NPI
Asha M Vijayakumar, M.D
- Internal Medicine Physician
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA07882600
- 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.
-
- Urgent Care Clinic/Center
- Hazlet, NJ
- NPI 1245595313
Internal Medicine, NJ
-
- Emergency Care Clinic/Center
- Edgewater, NJ
- NPI 1477927754
NJ
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA07882600 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Urgent Care of NJ LLC | Current | Accepting new patients | |
| Immediate Care Medical Walk-in of Hazlet, PA | Internal Medicine | Current | Accepting new patients |
| Hackensack Meridian Urgent Care, PC | Current | Accepting new patients | |
| Prohealth Urgent Care Medicine of New Jersey LLP | Current | 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
- hackensackmeridian.ashavijayakumar@136290.advancedmd-direct.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA07882600 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121924 | Medicaid | NJ |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.