Individual provider Active NPI

Mrinal Koul, MD

  • Obstetrics & Gynecology Physician
  • Newark, NJ
National Provider Identifier
1114067527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07786800 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000528 NJ Practitioner - Obstetrics/Gynecology 4183656184 Reassigns benefits to 5 organizations

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
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5060

Hospital & facility affiliations

  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Trinitas Physicians Practice, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Palisades Medical Associates LLC CurrentSince Sep 15, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 1, 2020 Accepting new patients
Central Avenue Professional Services, PC CurrentSince Jan 1, 2016 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

  • Direct secure messaging: mrinal.koul@direct.hackensackmeridian.org
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.