NPIMap

Individual provider Active NPI

Vijay Rastogi, M.D.

  • Specialist
  • Phillipsburg, NJ
National Provider Identifier
1407874886
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA75454 Issued in NJ
Practice address
755 Memorial Pkwy Ste 105
Phillipsburg, NJ 08865-2774
Phone
(484) 526-2200
Fax
(484) 526-2220
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD418637 PA
Surgery Physician 208600000X MD418637 PA
Specialist 174400000X MA75454 NJ Primary

Addresses

Primary practice location

755 Memorial Pkwy Ste 105
Phillipsburg, NJ 08865-2774

Mailing address

185 Roseberry St
Farley BLDG., 2ND Floor
Phillipsburg, NJ 08865-2773
Phone (908) 847-2621

Other practice location 1

701 Ostrum St
Fountain Hill, PA 18015-1155
Phone (484) 526-2200

Other identifiers 1

IdentifierTypeStateIssuer
0019089MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031113000140 NJ Practitioner - General Surgery 2860306016 Reassigns benefits to 1 organization
I20040422000264 PA Practitioner - General Surgery 2860306016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

701 Ostrum St
Suite 202
Fountain Hill, PA 18015-1152
Phone (610) 861-0377

755 Memorial Pkwy
Phillipsburg, NJ 08865-2774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA75454NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Feb 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Feb 1, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 1, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Warren Health Care Alliance, PC Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 101B
Phillipsburg, NJ 08865
Phone (908) 847-5240

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 105
Phillipsburg, NJ 08865
Phone (908) 859-2793

315 State Route 31 S
Fl 2
Washington, NJ 07882

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

701 Ostrum St
Ste 202
Fountain Hill, PA 18015
Phone (484) 526-2000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1407874886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ROSEBERRY ST",
            "address_2": "FARLEY BLDG., 2ND FLOOR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652773",
            "telephone_number": "908-847-2621",
            "fax_number": "908-847-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 105",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652774",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Fountain Hill",
            "state": "PA",
            "postal_code": "180151155",
            "country_code": "US",
            "telephone_number": "484-526-2200",
            "fax_number": "484-526-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD418637",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD418637",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA75454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019089",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.