Individual provider Active NPI

Niveditha Meghadri, M.D.

  • Psychiatry Physician
  • Edison, NJ
National Provider Identifier
1063501872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
295 Pierson Ave
Edison, NJ 08837-3118
Phone
(732) 494-8558
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NJ Primary

Addresses

Primary practice location

295 Pierson Ave
Edison, NJ 08837-3118

Mailing address

42 Bennet St
Fords, NJ 08863-1442
Phone (732) 857-7140

Other identifiers 1

IdentifierTypeStateIssuer
04971065OtherECFMG

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
I20041119000056 NJ Practitioner - Psychiatry 7911961859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MiddlesexGroup PAC ID 0547165904, 16 clinicians

Practice addresses (Care Compare)

570 Lee St
Perth Amboy, NJ 08861-3053
Phone (732) 442-1666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO7797400NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex CurrentSince Jul 6, 2020 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients
County of Middlesex CurrentSince Jul 6, 2020 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Sep 20, 2004 Accepting new patients

Locations

100 Metroplex Dr
Edison, NJ 08817
Phone (732) 235-3527

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063501872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BENNET ST",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631442",
            "telephone_number": "732-857-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PIERSON AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373118",
            "telephone_number": "732-494-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGHADRI",
        "first_name": "NIVEDITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "04971065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.