Organization Active NPI

Meenakshi Kukreja M D P a

  • Rehabilitation Clinic/Center
  • Edison, NJ
National Provider Identifier
1124291893
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
25MA03869900 Issued in NJ
Legal business name
MEENAKSHI KUKREJA M D P A
Practice address
35-37 Progress St
Suite B5
Edison, NJ 08820-1179
Phone
(908) 755-0550
Fax
(908) 755-3323
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Meenakshi Kukreja, M.D.
Title
President
Phone
(908) 755-0550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 25MA03869900 NJ
Primary Care Clinic/Center 261QP2300X 25MA03869900 NJ
Rehabilitation Clinic/Center 261QR0400X 25MA03869900 NJ Primary

Addresses

Primary practice location

35-37 Progress St
Suite B5
Edison, NJ 08820-1179

Mailing address

35-37 Progress St
Suite B5
Edison, NJ 08820-1179
Phone (908) 755-0550

Other identifiers 7

IdentifierTypeStateIssuer
10327OtherNJUNIVERSITY HEALTH PLANS
3245608MedicaidNJ
529210OtherNJUNITED HEALTH CARE
23269OtherNJENGINEERS LOCAL 825
18223OtherNJAMERIGROUP
754356OtherNJMAIL HANDLERS
40856OtherNJAETNA

National Provider Directory

National Provider Directory

Locations

35-37 Progress St
Ste B
Edison, NJ 08820
Phone (908) 755-0550

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1124291893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "address_2": "SUITE B5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-755-0550",
            "fax_number": "908-755-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST",
            "address_2": "SUITE B5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-755-0550",
            "fax_number": "908-755-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEENAKSHI KUKREJA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "KUKREJA",
        "authorized_official_first_name": "MEENAKSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-755-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "25MA03869900",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA03869900",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "25MA03869900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS",
            "identifier": "10327",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3245608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "529210",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENGINEERS LOCAL 825",
            "identifier": "23269",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "18223",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS",
            "identifier": "754356",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "40856",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.