NPIMap

Individual provider Active NPI

Sarita Rastogi, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hackensack, NJ
National Provider Identifier
1073501094
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA06684500 Issued in NJ
Practice address
140 Summit Ave
Hackensack, NJ 07601-1310
Phone
(201) 489-8567
Fax
(201) 489-8565
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA06684500 NJ Primary

Addresses

Primary practice location

140 Summit Ave
Hackensack, NJ 07601-1310

Mailing address

160 Stephens LN
Mahwah, NJ 07430-3862
Phone (201) 489-8567

Other identifiers 1

IdentifierTypeStateIssuer
DG2892OtherNJRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000827 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0840213203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 Summit Ave
Hackensack, NJ 07601-1310
Phone (201) 489-8567

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Amedisys Hospice Hospice, Hackensack, NJ, CCN 311510
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Careone at Wellington Nursing home, Hackensack, NJ, CCN 315152
  • Complete Care at Prospect Heights LLC Nursing home, Hackensack, NJ, CCN 315460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06684500NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarita Rastogi MD PA Geriatric Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

140 Summit Ave
Hackensack, NJ 07601
Phone (201) 489-8567

Interoperability endpoints

  • Direct secure messaging: rastogi.sarita.003.0300077@dsr.meditab.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Care of Hackensack, an Amedisys CompanyHackensack, NJ, CCN 311510 Hospice Contracted Managing Employee Aug 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 11

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1073501094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 STEPHENS LN",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303862",
            "telephone_number": "201-489-8567",
            "fax_number": "201-489-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011310",
            "telephone_number": "201-489-8567",
            "fax_number": "201-489-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "SARITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA06684500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2892",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.