Active NPI
Prerna Trivedy, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 25MA09927200
- Practice address
- 1 Robert Wood Johnson PL # Place342
New Brunswick, NJ 08901-1928 - Phone
- (732) 235-7044
- NPI assigned
- Apr 5, 2013
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 25MA09927200 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL # Place342
New Brunswick, NJ 08901-1928
Mailing address
1 Robert Wood Johnson PL # Place342
New Brunswick, NJ 08901-1928
Phone (732) 235-7044
Other practice location 1
300 2nd Ave
Monmouth Medical Center
Long Branch, NJ 07740-6303
Phone (732) 923-7251
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Pediatric Emergency Medicine | Current | Accepting new patients |
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Current | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- ptrivedy18177@epicdirect.rwjbh.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New Brunswick, NJ
- NPI 1346322732
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Anesthesiology Physician
- New Brunswick, NJ
- NPI 1861414989
-
dba Hackensack Meridian Medical Group - One Medical PC
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1225371404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL # PLACE342",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-235-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL # PLACE342",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-235-7044"
}
],
"practiceLocations": [
{
"address_1": "300 2nd Ave",
"address_2": "Monmouth Medical Center",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406303",
"country_code": "US",
"telephone_number": "732-923-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIVEDY",
"first_name": "PRERNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NJ",
"license": "25MA09927200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.