Individual provider Active NPI

Srujana Polsani, M.D

  • Nephrology Physician
  • Princeton Junction, NJ
National Provider Identifier
1427366350
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09305400 Issued in NJ
Practice address
88 Princeton Hightstown Rd # R
Princeton Junction, NJ 08550-1100
Phone
(609) 750-7330
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 25MA09305400 NJ Primary

Addresses

Primary practice location

88 Princeton Hightstown Rd # R
Princeton Junction, NJ 08550-1100

Mailing address

39 Grand St, Apt# 3312
Mamaroneck, NY 10543
Phone (443) 283-7601

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
I20130912000208 NJ Practitioner - NephrologyPractitioner - Internal Medicine 8628257193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Hypertension-Nephrology Associates L L CGroup PAC ID 2365414588, 7 clinicians

Practice addresses (Care Compare)

Princeton Junction, NJ 08550
Phone (609) 750-7330

Hospital & facility affiliations

  • DaVita Plainsboro Dialysis Dialysis facility, Plainsboro, NJ, CCN 312667
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09305400NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Hypertension Nephrology Associates LLC Single Specialty CurrentSince Sep 1, 2015 Accepting new patients
Sai Inpatient Resources, LLC Single Specialty Past Accepting new patients

Locations

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

88 Princeton Hightstown Rd
Ste 203
Princeton Junction, NJ 08550
Phone (609) 750-7330

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1427366350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRAND ST, APT# 3312",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10543",
            "telephone_number": "443-283-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD # R",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "609-750-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSANI",
        "first_name": "SRUJANA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09305400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.