Jitender Prasad, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA04729300 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4300

NPI assigned

May 23, 2005

Sex

Male

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 1

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

Merit-based Incentive Payment System (MIPS)

Final score

92.42 of 100Reported as group

Quality

91.18

Improvement activities

40

Cost

77.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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.

• Advanced Ambulatory Anesthesia, LLC

  • Specialist
  • Wayne, NJ
  • NPI 1063415990
  Medicare reassignment NPD
• Gastroenterology Associates of New Jersey, LLC

  • Gastroenterology Physician
  • Woodland Park, NJ
  • NPI 1497932271

  Anesthesiology

  Medicare reassignment NPD
• Premier Medical Alliance LLC

  • Gastroenterology Physician
  • Emerson, NJ
  • NPI 1093142895
  Medicare reassignment NPD
• Hasbrouck Heights Rehab, LLC

  • Anesthesiology Physician
  • Clifton, NJ
  • NPI 1306139316
  Authorized official Same address or phone
• Vivian K. Bethala, MD PA

  • Specialist
  • Emerson, NJ
  • NPI 1568412799
  NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1437152501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "973-928-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "JITENDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 47293",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04729300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3244601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystabel Polanco, M.D.
• Surmilena Polanco, DDS
• Jennifer R. Pollack, LCSW
• Polymath Medical, LLC
• Bracha Pomper
• Prime Healthcare Services - St. Mary's Passaic LLC (St. Mary's Hospital)
• Prime Healthcare Services - St. Mary's Passaic LLC (St. Mary's General Hospital)
• Prime Healthcare Services - St. Mary's Passaic, LLC (St. Mary's Hospital - Seton Comprehensive Treatment Center)
• Prime Healthcare Services - St. Mary's Passaic, LLC (St. Mary's Hospital - Seton Comprehensive Treatment Center)
• Prime Healthcare Services - St. Mary's Passaic, LLC (St. Mary's Hospital)

• Anesthesiology Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.