Individual provider Active NPI

Monika Kushwaha

  • Clinical Psychologist
  • Kendall Park, NJ
National Provider Identifier
1073920518
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00525300 Issued in NJ
Practice address
3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514
Phone
(732) 786-3829
Fax
(732) 702-6018
NPI assigned
Jul 16, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00525300 NJ Primary

Addresses

Primary practice location

3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514

Mailing address

3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514
Phone (732) 786-3829

Other practice location 1

3031 State Route 27
Suite A
Franklin Park, NJ 08823-1243
Phone (732) 786-3829

Other practice location 2

3031 State Route 27
Suite A
Franklin Park, NJ 08823-1243
Phone (732) 786-3829

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314000221 NJ Practitioner - Clinical Psychologist 2668757675 Practice locations: Kendall Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3176 State Route 27
Suite 2B
Kendall Park, NJ 08824-1514
Phone (908) 208-8548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073920518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27 STE 2B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "732-786-3829",
            "fax_number": "732-702-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27 STE 2B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "732-786-3829",
            "fax_number": "732-702-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 State Route 27",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "NJ",
            "postal_code": "088231243",
            "country_code": "US",
            "telephone_number": "732-786-3829",
            "fax_number": "732-702-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 State Route 27",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "NJ",
            "postal_code": "088231243",
            "country_code": "US",
            "telephone_number": "732-786-3829",
            "fax_number": "732-702-6018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHWAHA",
        "first_name": "MONIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00525300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.