Individual provider Active NPI

Jasvendar Singh Nandra, M.D.

  • Family Medicine Physician
  • Randolph, NJ
National Provider Identifier
1154518181
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA1005440 Issued in NJ
Practice address
16 Old Brookside Rd
Randolph, NJ 07869-3617
Phone
(973) 895-4000
Fax
(973) 895-3310
NPI assigned
Oct 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA1005440 NJ Primary
Family Medicine Physician 207Q00000X 25MA10054400 NJ
Family Medicine Physician 207Q00000X 85696 FL

Addresses

Primary practice location

16 Old Brookside Rd
Randolph, NJ 07869-3617

Mailing address

7 Skyline Dr
Randolph, NJ 07869-2156
Phone (609) 592-2293

Other identifiers 1

IdentifierTypeStateIssuer
0569739MedicaidNJ

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
I20190307001525 NJ Practitioner - Family PracticePractitioner - Hospice/Palliative Care 7810881117 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

16 Old Brookside Rd
Randolph, NJ 07869-3617
Phone (973) 895-4000

350 Engle St
FL 1 Berrie
Englewood, NJ 07631-1808
Phone (201) 568-5250

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85696FLMDFamily Medicine Physician
25MA1005440NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of NJ LLC CurrentSince Nov 9, 2019 Accepting new patients
Central Jersey Urgent Care CurrentSince Feb 26, 2019 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Nov 9, 2019 Accepting new patients
Primary Care Partners, LLC Family Medicine Current Accepting new patients
Primary Care Partners, LLC CurrentSince Sep 1, 2025 Accepting new patients
Central Jersey Urgent Care CurrentSince Feb 26, 2019 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Dec 1, 2021 Accepting new patients
Mount Freedom Medical Associates LLC Family Medicine Past Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Nov 9, 2019 Accepting new patients
Mount Freedom Medical Associates LLC Past Accepting new patients

Locations

350 Engle St
Fl 1
Englewood, NJ 07631
Phone (201) 568-5250

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2690 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 451-1601

2690 John F Kennedy Blvd
Unit A
Jersey City, NJ 07306
Phone (201) 451-1601

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

215 Applegarth Rd
Monroe Twp, NJ 08831
Phone (848) 888-4436

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

16 Old Brookside Rd
Randolph, NJ 07869
Phone (973) 895-4000

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEGCCD/Endpoint/CEGCCD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1154518181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SKYLINE DR",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692156",
            "telephone_number": "609-592-2293",
            "fax_number": "347-719-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OLD BROOKSIDE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693617",
            "telephone_number": "973-895-4000",
            "fax_number": "973-895-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDRA",
        "first_name": "JASVENDAR",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA1005440",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10054400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "85696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0569739",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.