Individual provider Active NPI

Rasik Jivani, M.D.

  • Internal Medicine Physician
  • Cream Ridge, NJ
National Provider Identifier
1265476576
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA55789 Issued in NJ
Practice address
611 Route 539
Cream Ridge, NJ 08514-2334
Phone
(609) 758-3200
NPI assigned
Jun 16, 2006
Last updated
May 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA55789 NJ Primary

Addresses

Primary practice location

611 Route 539
Cream Ridge, NJ 08514-2334

Mailing address

51 Joseph St
Manalapan, NJ 07726-8332
Phone (732) 866-3932

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
I20050622000108 NJ Practitioner - Internal Medicine 3577508472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Route 539 Potters SQ
Cream Ridge, NJ 08514-2334
Phone (732) 259-1004

611 RT 539 Potter's Square
Cream Ridge, NJ 08514-2334

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA55789NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rasik M. Jivani MD PA Internal Medicine CurrentSince Feb 9, 2010 Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Locations

611 Route 539
Cream Ridge, NJ 08514
Phone (609) 758-3200

Organizations & group practices 2

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.

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1265476576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JOSEPH ST",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268332",
            "telephone_number": "732-866-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROUTE 539",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142334",
            "telephone_number": "609-758-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVANI",
        "first_name": "RASIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cream Ridge, NJ

Sources for this page

Verify at the official NPI Registry.