Northwest Medical Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA073248 Issued in NJ

Legal business name

NORTHWEST MEDICAL CARE, LLC

Practice address

66 Sunset Strip
Ste 407
Succasunna, NJ 07876-1345

Phone

(973) 252-1676

NPI assigned

Mar 26, 2007

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krithika Mullengada, MDNPI 1992785562

Title

Physician Owner

Phone

(973) 252-1676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFFCAA

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krithika Mullengada, MD

  • Internal Medicine Physician
  • Succasunna, NJ
  • NPI 1992785562
  Medicare reassignment NPD Authorized official
• Sarah Boddeus

  • Family Nurse Practitioner
  • Succasunna, NJ
  • NPI 1710340989
  Medicare reassignment NPD
• Kailey M Caivano, FNP-C

  • Nurse Practitioner
  • Succasunna, NJ
  • NPI 1548078041
  Medicare reassignment NPD
• Denise Cusick, FNP

  • Family Nurse Practitioner
  • Succasunna, NJ
  • NPI 1356894414
  Medicare reassignment NPD
• Michelle Janice Roberts, APRN

  • Family Nurse Practitioner
  • Succasunna, NJ
  • NPI 1063278059
  Medicare reassignment NPD
• Victoria Lynn Poisseroux

  • Family Nurse Practitioner
  • Succasunna, NJ
  • NPI 1063217933
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1306964747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEMINGWAY DR",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078522322",
            "telephone_number": "973-252-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "STE 407",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-252-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "MULLENGADA",
        "authorized_official_first_name": "KRITHIKA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "973-252-1676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA073248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Podiatric Physicians & Surgeons Group, LLC
• New Jersey Recovery Institute
• Jacqueline Mary Nisivoccia, DPM
• NJ Medical Supplies LLC
• Northeastern Medical
• Amanda Nuzzo
• Devin O'Brien, L.S.W.
• Barbara A. O'Neil, PT
• Oluwatosin Olunuga, PMHNP
• Ann Marie Pagano, MSW,LCSW

• Internal Medicine Physician in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.