Active NPI
Meenakshi Kukreja M D P a
- Rehabilitation Clinic/Center
- Edison, NJ
National Provider Identifier
1124291893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 25MA03869900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10327 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 3245608 | Medicaid | NJ | |
| 529210 | Other | NJ | UNITED HEALTH CARE |
| 23269 | Other | NJ | ENGINEERS LOCAL 825 |
| 18223 | Other | NJ | AMERIGROUP |
| 754356 | Other | NJ | MAIL HANDLERS |
| 40856 | Other | NJ | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.