Individual provider Active NPI

Anju Rustagi, MD

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
National Provider Identifier
1174552806
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA06830200 Issued in NJ
Practice address
100 Davidson Ave Ste 210
Somerset, NJ 08873-1312
Phone
(908) 429-7799
Fax
(866) 611-9616
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA06830200 NJ Primary

Addresses

Primary practice location

100 Davidson Ave Ste 210
Somerset, NJ 08873-1312

Mailing address

100 Davidson Ave Ste 210
Somerset, NJ 08873-1312
Phone (908) 429-7799

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
I20110412000917 NJ Practitioner - Physical Medicine and Rehabilitation 3173502911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
56.33 of 100Reported as individual
Quality
100
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06830200NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Rehab and Electrodiagnostics PA Physical Medicine & Rehabilitation CurrentSince Mar 15, 2002 Accepting new patients

Locations

1621 US Highway 22
Bound Brook, NJ 08805
Phone (732) 247-1667

120 Old Camplain Rd
Ste 2H
Hillsborough, NJ 08844

100 Franklin Square Dr
Ste 201
Somerset, NJ 08873

100 Davidson Ave
Ste 210
Somerset, NJ 08873

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1174552806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAVIDSON AVE STE 210",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731312",
            "telephone_number": "908-429-7799",
            "fax_number": "866-611-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAVIDSON AVE STE 210",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731312",
            "telephone_number": "908-429-7799",
            "fax_number": "866-611-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAGI",
        "first_name": "ANJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA06830200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.