Individual provider Active NPI

Vishwa Nagar, PA

  • Physician Assistant
  • Cinnaminson, NJ
National Provider Identifier
1326400342
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00393400 Issued in NJ
Practice address
175 Route 130 S
Cinnaminson, NJ 08077-3376
Phone
(856) 536-1640
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058851 PA
Physician Assistant 363A00000X 25MP00393400 NJ Primary

Addresses

Primary practice location

175 Route 130 S
Cinnaminson, NJ 08077-3376

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422

Other practice location 2

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160512001355 NJ Practitioner - Physician Assistant 0749579845 Reassigns benefits to 8 organizations
I20170830003978 PA Practitioner - Physician Assistant 0749579845 Reassigns benefits to 4 organizations
I20230418002021 NY Practitioner - Physician Assistant 0749579845 Reassigns benefits to 1 organization
I20240216002425 FL Practitioner - Physician Assistant 0749579845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

Practice addresses (Care Compare)

1771 Madison Ave
Lakewood, NJ 08701-1251

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
029802NYMDSpeech-Language Pathologist
25MP00393400NJMDPhysician Assistant
MA058851PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia Inc CurrentSince Apr 15, 2016 Accepting new patients
Friendly Urgent Care, LLC CurrentSince May 31, 2022 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Treasure Coast Medical Associates CurrentSince Jan 13, 2024 Accepting new patients
Lakewood Resource and Referral Center Inc Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

1771 Madison Ave
#9
Lakewood, NJ 08701

108 Hillside Blvd
Lakewood, NJ 08701
Phone 73236421445370

400 New Hampshire Ave
Lakewood, NJ 08701
Phone (732) 901-6400

1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350

Interoperability endpoints

  • Direct secure messaging: vishwa.gandhi@chemed.eclinicaldirectplus.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1326400342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773376",
            "telephone_number": "856-536-1640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Williamson St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-994-5422",
            "fax_number": "908-994-5422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1771 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011242",
            "country_code": "US",
            "telephone_number": "732-364-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGAR",
        "first_name": "VISHWA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058851",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00393400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.