Nitin Putcha, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

09614400 Issued in NJ

Practice address

103 River Rd
Ste 101
Edgewater, NJ 07020-1016

Phone

(201) 308-8995

Fax

(201) 917-3603

NPI assigned

Feb 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NJ, DE3 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 3

Specialty

Physical Medicine and Rehabilitation

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1780080218

  DE, NJ, NY

  Medicare reassignment
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Bethesda, MD
  • NPI 1053242495

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Rockville, MD
  • NPI 1063343416

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Clinton, MD
  • NPI 1154252500

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Riverdale, MD
  • NPI 1235060674

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1235060682

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Glenarden, MD
  • NPI 1265363600

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Ellicott City, MD
  • NPI 1326979741

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Silver Spring, MD
  • NPI 1326979758

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Takoma Park, MD
  • NPI 1427989870

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1467383802

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official
• National Health Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Boonsboro, MD
  • NPI 1487585816

  Physical Medicine & Rehabilitation

  NPD (past) Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1407153265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995",
            "fax_number": "201-917-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "STE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995",
            "fax_number": "201-917-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTCHA",
        "first_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "53503",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "09614400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057927",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01493626",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prohealth Riverside Dental, LLC
• Prohealth Urgent Care Medicine of New Jersey LLP
• Christopher Pumill
• Rick Pumill, M.D.
• Navanita Purkayastha
• Brian Quan
• Radu Codel MD PC
• Birju Rao
• Ruchi Rawal, MD
• Hazel Reyes, RN

• All providers in Edgewater, NJ
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.