Individual provider Active NPI

Nilam Srivastava, M.D.

  • Internal Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1053511824
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08503400 Issued in NJ
Practice address
254 Easton Ave
Cares Building
New Brunswick, NJ 08901-1766
Phone
(732) 745-8600
Fax
(732) 745-2980
NPI assigned
Jul 20, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08503400 NJ Primary

Addresses

Primary practice location

254 Easton Ave
Cares Building
New Brunswick, NJ 08901-1766

Mailing address

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000167 NJ Practitioner - Internal Medicine 5092867143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter's Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

240 Easton Ave
TRD FL Attn Man Care
New Brunswick, NJ 08901-1723
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

59 Veronica Ave
Somerset, NJ 08873-3579

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08503400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter's University Hospital CurrentSince May 7, 2009 Accepting new patients
Saint Peter's University Hospital CurrentSince May 7, 2009 Accepting new patients
Saint Peter's Healthcare System Physician Associates CurrentSince Jul 1, 2014 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

59 Veronica Ave
Ste 203
Somerset, NJ 08873
Phone (732) 937-6008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1053511824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600",
            "fax_number": "732-745-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "address_2": "CARES BUILDING",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600",
            "fax_number": "732-745-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "NILAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08503400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.