Individual provider Active NPI

Nidhi Avichal

  • Family Nurse Practitioner
  • East Windsor, NJ
National Provider Identifier
1114746195
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15170200 Issued in NJ
Practice address
59 One Mile Rd Ext
East Windsor, NJ 08520-2505
Phone
(609) 443-4500
NPI assigned
Oct 7, 2024
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15170200 NJ Primary

Addresses

Primary practice location

59 One Mile Rd Ext
East Windsor, NJ 08520-2505

Mailing address

237 Christopher Dr
Princeton, NJ 08540-2323
Phone (201) 936-3619

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
I20250117001513 NJ Practitioner - Nurse Practitioner 3678002771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

59 One Mile Rd Ext
FL 2
East Windsor, NJ 08520-2505
Phone (609) 443-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SDG Dermatology PC Single Specialty CurrentSince Jan 19, 2025 Accepting new patients
Schweiger Dermatology, PC Single Specialty CurrentSince Jan 14, 2025 Accepting new patients
Live Urgent Care LLC Single Specialty PastSince Oct 1, 2024 Accepting new patients
Hightstown Medical Associates PA Single Specialty PastSince Jan 19, 2025 Accepting new patients

Locations

59 One Mile Rd Ext
East Windsor, NJ 08520
Phone (609) 443-1150

59 One Mile Rd Ext
Fl 2
East Windsor, NJ 08520
Phone (609) 443-1150

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Organizations & group practices 4

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1114746195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CHRISTOPHER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402323",
            "telephone_number": "201-936-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ONE MILE RD EXT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202505",
            "telephone_number": "609-443-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVICHAL",
        "first_name": "NIDHI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15170200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.