NPIMap

Individual provider Active NPI

Ajay Kumar Puri, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Hackensack, NJ
National Provider Identifier
1063919686
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
25MA12998900 Issued in NJ
Practice address
30 Prospect Ave Ste 2
Hackensack, NJ 07601-1915
Phone
(551) 996-1298
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA12998900 NJ Primary

Addresses

Primary practice location

30 Prospect Ave Ste 2
Hackensack, NJ 07601-1915

Mailing address

1801 NW 9TH Ave Ste 700
Miami, FL 33136-1100
Phone (305) 355-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210713000242 NY Practitioner - Emergency Medicine 7810399912 Reassigns benefits to 1 organization
I20240724001837 FL Practitioner - Emergency Medicine 7810399912 Reassigns benefits to 1 organization
I20260324003770 NJ Practitioner - Critical Care (Intensivists) 7810399912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12998900NJMDCritical Care Medicine (Internal Medicine) Physician
309562NYMDAdult Health Nurse Practitioner

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2021 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Ste 700
Miami, FL 33136
Phone (305) 355-1035

30 Prospect Ave
Ste 2
Hackensack, NJ 07601
Phone (551) 996-1298

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 25

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

View all 25

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Miami 2,346 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PC 1,901 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-3100

30 Prospect Ave
Hackensack, NJ 07601-1915

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1063919686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE STE 700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361100",
            "telephone_number": "305-355-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE STE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "AJAY",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA12998900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.