Individual provider Active NPI

Rupa Gopalan Juthani, M.D.

  • Neurological Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1194042317
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA11504900 Issued in NJ
Practice address
Neurosurgical Associates of New Jersey, P.C.
1200 E Ridgewood Avenue Ste 200
Ridgewood, NJ 07450
Phone
(201) 327-8600
Fax
(201) 327-8225
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 289606 NY
Neurological Surgery Physician 207T00000X 25MA11504900 NJ Primary

Addresses

Primary practice location

Neurosurgical Associates of New Jersey, P.C.
1200 E Ridgewood Avenue Ste 200
Ridgewood, NJ 07450

Mailing address

1200 E Ridgewood Ave
Suite 200
Ridgewood, NJ 07450
Phone (201) 327-8600

Other names 1

  • Dr. Rupa Gopalan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815002005 NY Practitioner - Neurosurgery 0749563633 Reassigns benefits to 2 organizations
I20220804003717 NJ Practitioner - Neurosurgery 0749563633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Virginia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3937
Phone (201) 327-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion63
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289606NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Oct 7, 2018 Accepting new patients
Neurosurgical Associates of New Jersey, P.C. Neurological Surgery CurrentSince Jul 1, 2022 Accepting new patients
Weill Medical College of Cornell Neurological Surgery CurrentSince Aug 15, 2018 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Oct 7, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 15, 2018 Accepting new patients
Weill Medical College of Cornell Neurological Surgery Current Accepting new patients
Valley Physician Services PC PastSince Jul 1, 2022 Accepting new patients

Locations

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

525 E 68th St
#77
New York, NY 10065

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Interoperability endpoints

  • Direct secure messaging: rjuthani706927@ahs.direct-ci.com

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 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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1194042317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "SUITE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-327-8600",
            "fax_number": "201-327-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C.",
            "address_2": "1200 E RIDGEWOOD AVENUE STE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-327-8600",
            "fax_number": "201-327-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTHANI",
        "first_name": "RUPA",
        "middle_name": "GOPALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "289606",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA11504900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUPA",
            "last_name": "GOPALAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.