Individual provider Active NPI

Anisha Mohandas, MD

  • Pediatrics Physician
  • New Brunswick, NJ
National Provider Identifier
1346735255
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA12255400 Issued in NJ
Practice address
89 French St Ste 2300
New Brunswick, NJ 08901-1935
Phone
(732) 235-6230
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26959 FL
Pediatrics Physician 208000000X 25MA12255400 NJ Primary

Addresses

Primary practice location

89 French St Ste 2300
New Brunswick, NJ 08901-1935

Mailing address

199 2ND St Apt W838
Mineola, NY 11501-6021

Other practice location 1

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 459-2094

Other practice location 2

101 Nicolls Rd
Stony Brook, NY 11794-2510
Phone (631) 444-8115

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
I20240827004721 NJ Practitioner - Pediatric Medicine 4082153606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Scleroderma ProgramGroup PAC ID 5193764991, 390 clinicians

Practice addresses (Care Compare)

1 Worlds Fair Dr
FL 1
Somerset, NJ 08873-1344
Phone (732) 235-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26959FLMDPediatrics Physician
25MA12255400NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Aug 15, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Aug 15, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients

Locations

645 State Route 18
East Brunswick, NJ 08816
Phone (732) 390-1160

760 Amboy Ave
Ste 102
Edison, NJ 08837
Phone (732) 235-7821

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

89 French St
Ste 2300
New Brunswick, NJ 08901
Phone (732) 235-6230

89 French St
New Brunswick, NJ 08901
Phone (732) 235-6230

1 Worlds Fair Dr
Fl 1
Somerset, NJ 08873
Phone (732) 235-7894

Organizations & group practices 5

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1346735255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 2ND ST APT W838",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115016021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 FRENCH ST STE 2300",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011935",
            "telephone_number": "732-235-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-459-2094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Nicolls Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117942510",
            "country_code": "US",
            "telephone_number": "631-444-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHANDAS",
        "first_name": "ANISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "26959",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12255400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.