Individual provider Active NPI

Nadika Wignarajan, M.D.

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1386877819
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08642900 Issued in NJ
Practice address
875 Kennedy Blvd
Bayonne, NJ 07002-2826
Phone
(201) 339-1035
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08642900 NJ Primary

Addresses

Primary practice location

875 Kennedy Blvd
Bayonne, NJ 07002-2826

Mailing address

875 Kennedy Blvd
Bayonne, NJ 07002-2826

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
I20091222000207 NJ Practitioner - Internal Medicine 3577603679 Reassigns benefits to 1 organization
Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

875 Kennedy Blvd
Bayonne, NJ 07002-2826
Phone (201) 339-1035

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Bayonne, NJ, CCN 317006
  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Peace Care St Ann'S Nursing home, Jersey City, NJ, CCN 315413
  • Bayonne University Hospital Nursing home, Bayonne, NJ, CCN 315532

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08642900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wignarajan Medical Associates LLC Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
K R Wignarajan Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nadika.wignarajan@direct.bayonnemedicalcenter.md

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 5

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1386877819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022826",
            "telephone_number": "201-339-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGNARAJAN",
        "first_name": "NADIKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08642900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.