Individual provider Active NPI

Abhijeet Rastogi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hainesport, NJ
National Provider Identifier
1114089471
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08666500 Issued in NJ
Practice address
404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone
(609) 845-3988
Fax
(609) 288-6078
NPI assigned
Dec 14, 2006
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X C1-0012890 DE
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08666500 NJ Primary

Addresses

Primary practice location

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768

Mailing address

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, DE, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110601000038 NJ Practitioner - AnesthesiologyPractitioner - Pain Management 7911068705 Reassigns benefits to 3 organizations
I20140221000140 PA Practitioner - Pain Management 7911068705 Reassigns benefits to 1 organization
I20190128000276 DE Practitioner - Pain Management 7911068705 Reassigns benefits to 1 organization
I20231122000574 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 7911068705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Naspac1 LLCGroup PAC ID 1355563404, 14 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012890DEMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naspac-NJ PLLC CurrentSince Oct 26, 2013 Accepting new patients
North American Spine & Pain Consultants LLC Naspac CurrentSince Dec 11, 2018 Accepting new patients
North American Spine & Pain Consultants LLC Naspac CurrentSince Jan 6, 2014 Accepting new patients
Naspac1 LLC Pain Medicine CurrentSince Sep 16, 2014 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2011 Accepting new patients
Naspac1 LLC CurrentSince Nov 16, 2012 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2011 Accepting new patients
Naspac-NJ PLLC Pain Medicine CurrentSince Oct 26, 2013 Accepting new patients
Deck Pain Management , LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2600 Glasgow Ave
Ste 126
Newark, DE 19702
Phone (302) 439-3063

29 E 29th St
Fl 1
Bayonne, NJ 07002
Phone (862) 206-5230

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

240 Central Ave
Fl 3
East Orange, NJ 07018
Phone (862) 206-7576

240 Central Ave
Fl 5
East Orange, NJ 07018
Phone (862) 206-7576

404 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 845-3988

404 Creek Crossing Blvd
#B
Hainesport, NJ 08036

160 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 516-4566

930 Town Center Dr
Ste F50
Langhorne, PA 19047
Phone (267) 352-3990

2 Industrial Blvd
Ste 210
Paoli, PA 19301
Phone (484) 879-6508

1000 Integrity Dr
Pittsburgh, PA 15235
Phone (412) 242-8450

2325 Maryland Rd
Ste 100
Willow Grove, PA 19090
Phone (215) 657-1315

Interoperability endpoints

  • Direct secure messaging: arastogi19193@directvirtua.org

Organizations & group practices 14

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.

View all 14

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1114089471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988",
            "fax_number": "609-288-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "ABHIJEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DE",
            "license": "C1-0012890",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08666500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.