Individual provider Active NPI

Sushma R Kaki, M.D

  • Pediatrics Physician
  • Trenton, NJ
National Provider Identifier
1427260850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08156800 Issued in NJ
Practice address
2113 Klockner Rd
Trenton, NJ 08690-3403
Phone
(609) 586-7887
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08156800 NJ Primary

Addresses

Primary practice location

2113 Klockner Rd
Trenton, NJ 08690-3403

Mailing address

303 Dahlia Cir
Dayton, NJ 08810-1459
Phone (732) 823-4574

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
I20140502000349 NJ Practitioner - Pediatric Medicine 8022241868 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08156800NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 1, 2020 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Advocare , LLC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

3526 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 653-5933

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: sushma.kaki@advocaredoctors.eclinicaldirectplus.com
  • Direct secure messaging: sushma.kaki@direct.carepointhealth.org
  • Direct secure messaging: sushma.kaki@direct.christhospital.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427260850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DAHLIA CIR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101459",
            "telephone_number": "732-823-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 KLOCKNER RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086903403",
            "telephone_number": "609-586-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKI",
        "first_name": "SUSHMA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08156800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.