Individual provider Active NPI

Neeharika Kasuganti, MD

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1265812689
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11315600 Issued in NJ
Practice address
349 3Rd St
Jersey City, NJ 07302-5634
Phone
(212) 280-4740
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 297622-1 NY
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA11315600 NJ Primary

Addresses

Primary practice location

349 3Rd St
Jersey City, NJ 07302-5634

Mailing address

300 W 108TH St Apt 13a
New York, NY 10025-2788
Phone (646) 245-4773

Other practice location 1

535 W 110th St Apt 1E
New York, NY 10025-2021
Phone (212) 280-4740

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
I20201102002006 NY Practitioner - Internal Medicine 9830509892 Reassigns benefits to 1 organization
I20220125000681 NJ Practitioner - Internal Medicine 9830509892 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297622-1NYMDLicensed Practical Nurse
25MA11315600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Medicine PLLC. Single Specialty CurrentSince May 26, 2025 Accepting new patients
Ocean Health Initiatives Inc Single Specialty Current Accepting new patients
Ocean Health Initiatives, Inc Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Ocean Health Initiatives,Inc Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
American Chiropractic Enterprise PLLC Single Specialty Past Accepting new patients
Practice Associates Medical Group Single Specialty PastSince Jun 16, 2024 Accepting new patients

Locations

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

3600 State Route 66
Ste 400
Neptune City, NJ 07753

219 Driggs Ave
Brooklyn, NY 11222

322 Fairview Ave
Hudson, NY 12534
Phone (518) 828-3662

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404

55 E 87th St
Ste 1F
New York, NY 10128
Phone (212) 427-2131

Organizations & group practices 6

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1265812689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 108TH ST APT 13A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252788",
            "telephone_number": "646-245-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 3RD ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025634",
            "telephone_number": "212-280-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 W 110th St Apt 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100252021",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASUGANTI",
        "first_name": "NEEHARIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "297622-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11315600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.