Rupa Sudhir Mongia, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MAO62435 Issued in NJ

Practice address

3250 Route 27
Suite 102/103
Kendall Park, NJ 08824-1536

Phone

(732) 398-9100

Fax

(732) 398-9105

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Rupa Mohanlal Raizada Former name

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
• Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Spectrum Medical Associates LLC

  • Internal Medicine Physician
  • Somerset, NJ
  • NPI 1386872349

  Internal Medicine, NJ

  Medicare reassignment NPD Authorized official
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  NPD (past)
• University Geriatrics & Internal Medicine Associates,LLC

  • Internal Medicine Physician
  • Somerset, NJ
  • NPI 1528172111

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Cranford, NJ
  • NPI 1043052517
  Care Compare affiliation
• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation
• Robert Wood Johnson Visiting Nurses, Inc.

  • Home Health Agency
  • North Brunswick, NJ
  • NPI 1588809248
  Care Compare affiliation
• Robert Wood Johnson Visiting Nurses, Inc.

  • Community Based Hospice Care Agency
  • North Brunswick, NJ
  • NPI 1700968609

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1427066596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ROUTE 27",
            "address_2": "SUITE 102/103",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241536",
            "telephone_number": "732-398-9100",
            "fax_number": "732-398-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 ROUTE 27",
            "address_2": "SUITE 102/103",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241536",
            "telephone_number": "732-398-9100",
            "fax_number": "732-398-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIA",
        "first_name": "RUPA",
        "middle_name": "SUDHIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO62435",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MAO62435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "161627691",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2958634",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7475209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUPA",
            "last_name": "RAIZADA",
            "middle_name": "MOHANLAL",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Kendall Park, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.