Individual provider Active NPI

Rajiv Krishnakant Vyas, MD

  • Psychiatry Physician
  • Bridgeton, NJ
National Provider Identifier
1376757435
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07182200 Issued in NJ
Practice address
215 S Burlington Rd
Bridgeton, NJ 08302-3479
Phone
(856) 459-7224
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07182200 NJ Primary

Addresses

Primary practice location

215 S Burlington Rd
Bridgeton, NJ 08302-3479

Mailing address

15 Somerton SQ
Medford, NJ 08055-3366
Phone (609) 953-7882

Other practice location 1

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834
Phone (609) 689-5725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajiv.vyas.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20190805001674 NJ Practitioner - Psychiatry 3870489974 Reassigns benefits to 2 organizations
I20201217000560 PA Practitioner - Psychiatry 3870489974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1445 Whitehorse Mercerville Rd
Suite 103
Hamilton, NJ 08619-3834
Phone (609) 587-6661

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

Hospital & facility affiliations

  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07182200NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Psychiatry CurrentSince Nov 1, 2019 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Jul 8, 2019 Accepting new patients
Akshar Health Associates, LLC Psychiatry Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

667 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-5730

671 Hoes Ln W
Rm B201
Piscataway, NJ 08854

1445 Whitehorse Mercerville Rd
Ste 103
Trenton, NJ 08619
Phone (609) 587-6661

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • Direct secure messaging: rajiv.vyas.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1376757435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SOMERTON SQ",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553366",
            "telephone_number": "609-953-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BURLINGTON RD",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023479",
            "telephone_number": "856-459-7224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Whitehorse Mercerville Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193834",
            "country_code": "US",
            "telephone_number": "609-689-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VYAS",
        "first_name": "RAJIV",
        "middle_name": "KRISHNAKANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07182200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajiv.vyas.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Whitehorse Mercerville Rd Ste 103",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086193834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.