Individual provider Active NPI

Mahesh Bikkina, MD FACC FSCAI

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1205856002
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06328500 Issued in NJ
Practice address
22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone
(201) 475-5050
Fax
(201) 475-5522
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA06328500 NJ Primary

Addresses

Primary practice location

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016

Mailing address

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

Other identifiers 1

IdentifierTypeStateIssuer
6778101MedicaidNJ

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
I20101103000360 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4981690336 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Fair Lawn, NJ 07410-3016

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06328500NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey ASC Associates, LLC CurrentSince Nov 1, 2022 Accepting new patients
Comprehensive Health Care of New Jersey,LLC Cardiovascular Disease Current Accepting new patients
North Jersey Ekg Reading Group LLC Cardiovascular Disease CurrentSince Jul 1, 2003 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients
Heart & Vascular Associates of Northern Jersey, P.a. Current Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Jan 13, 2021 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

1060 Clifton Ave
Fl 2
Clifton, NJ 07013
Phone (973) 532-7899

1060 Clifton Ave
Clifton, NJ 07013
Phone (973) 532-7899

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

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

22-18 Broadway
Ste 202
Fair Lawn, NJ 07410
Phone (201) 796-5400

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

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

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

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

11 Getty Ave
Paterson, NJ 07503

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

680 Broadway
Paterson, NJ 07514
Phone (973) 977-6600

Interoperability endpoints

  • Direct secure messaging: mbikkina189436@ahs.direct-ci.com
  • Direct secure messaging: mbikkina@nvcasc.md.direct-ci.com
  • Direct secure messaging: mbikkina236518@direct.englewoodhealth.org
  • Direct secure messaging: mahesh.bikkina@direct.carepointhealth.org

Organizations & group practices 9

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 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1205856002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKKINA",
        "first_name": "MAHESH",
        "credential": "MD FACC FSCAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06328500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6778101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.