Active NPI
Mrinal Koul, MD
- Obstetrics & Gynecology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA07786800
- Practice address
- 341 Walnut St
Newark, NJ 07105-2611 - Phone
- (908) 490-0036
- Fax
- (908) 490-0067
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA07786800 | NJ | Primary |
Addresses
Primary practice location
341 Walnut St
Newark, NJ 07105-2611
Mailing address
PO Box 5604
Clark, NJ 07066-5604
Phone (908) 490-0036
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5060
Hospital & facility affiliations
- Saint Michael'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Trinitas Physicians Practice, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Palisades Medical Associates LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Central Avenue Professional Services, PC | Current | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
2040 Millburn Ave
Ste 405
Maplewood, NJ 07040
Phone (973) 243-2666
111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060
268 Mlk Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
81 Northfield Ave
Ste 101
West Orange, NJ 07052
Phone (973) 699-5931
Interoperability endpoints
- mrinal.koul@direct.hackensackmeridian.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 9
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newark, NJ
- NPI 1447649694
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Internal Medicine Physician
- North Bergen, NJ
- NPI 1558475087
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1205189941
Obstetrics & Gynecology
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114067527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5604",
"city": "CLARK",
"state": "NJ",
"postal_code": "070665604",
"telephone_number": "908-490-0036",
"fax_number": "908-490-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 WALNUT ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052611",
"telephone_number": "908-490-0036",
"fax_number": "908-490-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUL",
"first_name": "MRINAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA07786800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.