Individual provider Active NPI

Sunita Nankoo, M.D.

  • Diagnostic Radiology Physician
  • Galloway, NJ
National Provider Identifier
1407180243
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09487500 Issued in NJ
Practice address
44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599
Phone
(609) 652-7349
NPI assigned
Sep 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT192757 PA
Diagnostic Radiology Physician 2085R0202X 25MA09487500 NJ Primary

Addresses

Primary practice location

44 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-9599

Mailing address

1 Riverview PLZ
Red Bank, NJ 07701-1864

Other identifiers 1

IdentifierTypeStateIssuer
0421766MedicaidNJ

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
I20141028001133 NJ Practitioner - Diagnostic Radiology 0648412643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ami Atlanticare LLCGroup PAC ID 7113073263, 62 clinicians
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone (609) 878-9729

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
98.86
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
89.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09487500NJMDDiagnostic Radiology Physician
MT192757PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Imaging CurrentSince Sep 1, 2019 Accepting new patients
Ami Atlanticare LLC CurrentSince Sep 1, 2019 Accepting new patients
Atlantic Radiologists Professional Association LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

72 W Jimmie Leeds Rd
Ste 1100
Galloway, NJ 08205
Phone (609) 652-6815

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

517 Route 72 W
Manahawkin, NJ 08050
Phone (609) 384-7729

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1407180243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E JIMMIE LEEDS RD STE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059599",
            "telephone_number": "609-652-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANKOO",
        "first_name": "SUNITA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT192757",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09487500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421766",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.