Active NPI
Mehul Rajnikant Kamdar, MD
- Plastic Surgery Physician
- Morristown, NJ
National Provider Identifier
1275786089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A108348
- Practice address
- 261 James Street
Suite 1B
Morristown, NJ 07960-6136 - Phone
- (917) 656-1977
- Fax
- (973) 577-6049
- NPI assigned
- Oct 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 237991 | NY | |
| Plastic Surgery Physician | 208200000X | 25MA08778700 | NJ | |
| Plastic Surgery Physician | 208200000X | A108348 | CA | Primary |
Addresses
Primary practice location
261 James Street
Suite 1B
Morristown, NJ 07960-6136
Mailing address
261 James Street
Suite 1B
Morristown, NJ 07960-6136
Phone (917) 656-1977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208269 | Other | NJ | MEDICARE PTAN |
| 00A1083480 | Medicaid | CA |
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
- Plastic and Reconstructive Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
261 James St
Suite 1B
Morristown, NJ 07960-6348
Phone (973) 577-6050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 38 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108348 | CA | MD | Dentist |
| A108348 | CA | MD | Plastic Surgery Physician |
| 25MA08778700 | NJ | MD | Plastic Surgery Physician |
| 237991 | NY | MD | Plastic Surgery Physician |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Morristown, NJ
- NPI 1376840801
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1275786089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 JAMES STREET",
"address_2": "SUITE 1B",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "917-656-1977",
"fax_number": "973-577-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 JAMES STREET",
"address_2": "SUITE 1B",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "917-656-1977",
"fax_number": "973-577-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMDAR",
"first_name": "MEHUL",
"middle_name": "RAJNIKANT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-24",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "237991",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MA08778700",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A108348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "208269",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A1083480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.