Active NPI
Surekha D Khedekar, M.D.
- Diagnostic Radiology Physician
- West Orange, NJ
National Provider Identifier
1396745980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA04386900
- Practice address
- 3 Murphy CT
West Orange, NJ 07052-3122 - Phone
- (973) 325-2968
- NPI assigned
- Jul 26, 2005
- Last updated
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04386900 | NJ | Primary |
Addresses
Primary practice location
3 Murphy CT
West Orange, NJ 07052-3122
Mailing address
3 Murphy CT
West Orange, NJ 07052-3122
Phone (973) 325-2968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5219701 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackettstown Anesthesia Associates | Past | Accepting new patients | |
| South Mountain Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Central Radiology,LLC | Diagnostic Radiology | Past | Accepting new patients |
| Practice Associates Medical Group | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- East Orange, NJ
- NPI 1336148998
-
- Anesthesiology Physician
- Denville, NJ
- NPI 1053396580
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1396745980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MURPHY CT",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523122",
"telephone_number": "973-325-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MURPHY CT",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523122",
"telephone_number": "973-325-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHEDEKAR",
"first_name": "SUREKHA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04386900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5219701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.