Individual provider Active NPI

Mitesh Gordhan Kathrotia, M.D.

  • Family Medicine Physician
  • Freehold, NJ
National Provider Identifier
1154612430
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09498400 Issued in NJ
Practice address
17 Broad St
Freehold, NJ 07728-1757
Phone
(732) 780-1601
Fax
(732) 780-1936
NPI assigned
Apr 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09498400 NJ Primary

Addresses

Primary practice location

17 Broad St
Freehold, NJ 07728-1757

Mailing address

300 E 46TH St
Apt 6B
New York, NY 10017-3000
Phone (805) 452-0536

Other practice location 1

175 High St
Newton, NJ 07860-1004
Phone (973) 579-8321

Other practice location 2

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 441-1161

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
I20140910001522 NJ Practitioner - Family Practice 6901044882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince May 5, 2025 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family Medicine CurrentSince Nov 30, 2020 Accepting new patients
Newark Beth Israel Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Medical Associates of Englewood, PC PastSince Oct 27, 2025 Accepting new patients
Riverside Medical Group PastSince Jun 1, 2014 Accepting new patients
Kenneth Faistl, MD,PA Family Medicine PastSince Mar 13, 2009 Accepting new patients

Locations

18 Lyons Mall
Basking Ridge, NJ 07920
Phone (908) 760-8888

281 State Route 34
Ste 813
Colts Neck, NJ 07722
Phone (732) 431-2620

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

175 High St
Newton, NJ 07860
Phone (973) 383-2121

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 7

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 5

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1154612430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 46TH ST",
            "address_2": "APT 6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173000",
            "telephone_number": "805-452-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BROAD ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281757",
            "telephone_number": "732-780-1601",
            "fax_number": "732-780-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 High St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601004",
            "country_code": "US",
            "telephone_number": "973-579-8321",
            "fax_number": "973-383-4572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Willow Grove St",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401799",
            "country_code": "US",
            "telephone_number": "908-441-1161",
            "fax_number": "908-441-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHROTIA",
        "first_name": "MITESH",
        "middle_name": "GORDHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09498400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.