Surekha Ashwin Jadhav, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09749400 Issued in NJ

Practice address

1553 Ruth Rd
Route 1
North Brunswick, NJ 08902-4075

Phone

(732) 418-1700

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1164899704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 RUTH RD",
            "address_2": "ROUTE 1",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024075",
            "telephone_number": "732-418-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 RUTH RD",
            "address_2": "ROUTE 1",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024075",
            "telephone_number": "732-418-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADHAV",
        "first_name": "SUREKHA",
        "middle_name": "ASHWIN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09749400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Edward Ioffreda, M.D.
• Hira Ismail
• Nabiliah Muhammad Ismail, MSW,LCADC
• J&M Anesthesia LLC
• Lisa Jacovsky
• Tiffany Jaggers, RBT
• Andrew Jaraha, DDS
• Karim Jarjoura, DMD
• Debra Ann Jenkins, LCMHC,LMHC, LPC,LCAS
• Jennings Medical Solutions

• Pediatrics Physician in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.