Mira Chakravarty, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03783000 Issued in NJ

Practice address

3840 Park Avenue
Suite C
Edison, NJ 08820

Phone

(732) 494-9061

Fax

(732) 494-5571

NPI assigned

Jun 25, 2007

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.64 of 100Reported as group

Quality

55.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The New Jersey Imaging Network, LLC

  dba DRA of Morristown at Cedar Knolls

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1629327887
  Medicare reassignment Care Compare group NPD
• Cranford Diagnostic Imaging PA

  dba Cranford Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Cranford, NJ
  • NPI 1366436552
  NPD (past)
• Edison Imaging Associates, PA

  dba DBA Advanced Medical Imaging

  • Specialist
  • Old Bridge, NJ
  • NPI 1790811016
  NPD (past)
• Edison Radiology Group PA JFK Medical Center

  • Diagnostic Radiology Physician
  • Edison, NJ
  • NPI 1417013731

  Specialist

  NPD (past)
• Health Diagnostics of New Jersey, LLC

  • Radiology Clinic/Center
  • Edison, NJ
  • NPI 1902804727
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1073719258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PARK AVE",
            "address_2": "SUITE C",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202563",
            "telephone_number": "732-494-9061",
            "fax_number": "732-494-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PARK AVENUE",
            "address_2": "SUITE C",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-494-9061",
            "fax_number": "732-494-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "MIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03783000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Ophthalmology,PA
• Central Jersey Pathology Consultants, PA
• Ronald Cha, RN, ACNP-BC
• Scott S Chae, M.D.
• Young Soo Chae, M.D.
• Eric Chan, DO
• Wai Chung Chan
• Kanika Chandra
• Jeffrey H Charen, MD
• Karen Lynn Charen, PT

• Specialist in Edison, NJ
• Providers in Edison, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.

Verify at the official NPI Registry.