Individual provider Active NPI

Ajay B. Nemade, M.D.

  • Diagnostic Radiology Physician
  • Englewood, NJ
National Provider Identifier
1376836874
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09684700 Issued in NJ
Practice address
350 Engle Street
Radiology Department Attn: Jessica Matthews
Englewood, NJ 07631
Phone
(201) 894-3840
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA09684700 NJ Primary

Addresses

Primary practice location

350 Engle Street
Radiology Department Attn: Jessica Matthews
Englewood, NJ 07631

Mailing address

2419 Sterling Blvd
Englewood, NJ 07631-4830

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
I20150724011580 NJ Practitioner - Diagnostic Radiology 1850604489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3480

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09684700NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Imaging Network, LLC CurrentSince Jun 1, 2016 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Jun 28, 2018 Accepting new patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology PastSince Dec 1, 2016 Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

772 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-0002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 4

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1376836874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 STERLING BLVD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET",
            "address_2": "RADIOLOGY DEPARTMENT ATTN: JESSICA MATTHEWS",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-894-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMADE",
        "first_name": "AJAY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09684700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.