Individual provider Active NPI

Asha Gopinath Harikumar

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1093452401
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01309400 Issued in NJ
Practice address
2690 John F Kennedy Blvd
Jersey City, NJ 07306-5804
Phone
(201) 451-1601
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01309400 NJ Primary

Addresses

Primary practice location

2690 John F Kennedy Blvd
Jersey City, NJ 07306-5804

Mailing address

540 Mabie St
New Milford, NJ 07646-2011
Phone (551) 580-2035

Other practice location 1

540 Mabie St
New Milford, NJ 07646-2011
Phone (551) 580-2035

Other identifiers 1

IdentifierTypeStateIssuer
0955027MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002374 NJ Practitioner - Nurse Practitioner 5698124675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Dec 18, 2023 Accepting new patients

Locations

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7730

2690 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 451-1601

524 43rd St
Union City, NJ 07087
Phone (201) 866-6221

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1093452401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MABIE ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462011",
            "telephone_number": "551-580-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065804",
            "telephone_number": "201-451-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Mabie St",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "NJ",
            "postal_code": "076462011",
            "country_code": "US",
            "telephone_number": "551-580-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARIKUMAR",
        "first_name": "ASHA",
        "middle_name": "GOPINATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01309400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0955027",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.