Individual provider Active NPI

Mugdha Agrawal, M.D.

  • Rheumatology Physician
  • Voorhees, NJ
National Provider Identifier
1144595414
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA10843000 Issued in NJ
Practice address
2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509
Phone
(856) 424-5005
Fax
(212) 731-5210
NPI assigned
Mar 20, 2012
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA10843000 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509

Mailing address

2301 E Evesham Rd Ste 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005

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
I20200902000386 NJ Practitioner - Rheumatology 4587971122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trabecular Medical Group, LLCGroup PAC ID 2365842440, 19 clinicians

Practice addresses (Care Compare)

2301 E Evesham Rd
BLDG 800 Suite 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trabecular Medical Group, LLC Rheumatology CurrentSince Jul 1, 2021 Accepting new patients

Locations

1759 Highway 88
Brick, NJ 08724

314 Chris Gaupp Dr
Ste 103
Galloway, NJ 08205

740 Marne Hwy
Ste 102
Moorestown, NJ 08057
Phone (856) 235-0001

354 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-5460

2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300

2301 E Evesham Rd
Ste 115
Voorhees, NJ 08043
Phone (856) 770-9000

Interoperability endpoints

  • Direct secure messaging: magrawal@arthritis.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1144595414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 115",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509",
            "telephone_number": "856-424-5005",
            "fax_number": "212-731-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 115",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509",
            "telephone_number": "856-424-5005",
            "fax_number": "212-731-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "MUGDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA10843000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.