Individual provider Active NPI

Karandeep S. Jagpal, D.O.

  • Nephrology Physician
  • Cherry Hill, NJ
National Provider Identifier
1457632572
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MB09882700 Issued in NJ
Practice address
401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500
Phone
(856) 428-8992
Fax
(856) 428-9614
NPI assigned
Sep 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MB09882700 NJ Primary

Addresses

Primary practice location

401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500

Mailing address

401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500
Phone (856) 428-8992

Other identifiers 1

IdentifierTypeStateIssuer
0534986MedicaidNJ

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
I20161114000734 NJ Practitioner - Nephrology 8224317334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Rowan University School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

510 Jackson Ave
Northfield, NJ 08225-1631
Phone (609) 383-0200

Hospital & facility affiliations

  • FMC Cape May Dialysis facility, Cape May Court House, NJ, CCN 312579
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09882700NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kidney Care LLC Nephrology CurrentSince Apr 1, 2024 Accepting new patients
Regional Nephrology Associates, P.a. Nephrology CurrentSince Oct 15, 2018 Accepting new patients

Locations

210 Jack Martin Blvd
Ste D1
Brick, NJ 08724
Phone (732) 341-4600

1261 Route 9 S
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-0755

83 Hanover Rd
Ste 290
Florham Park, NJ 07932
Phone (973) 259-0278

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

Interoperability endpoints

  • Direct secure messaging: kjagpal25437@direct.acumenmd.com

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 7

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1457632572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KINGS HWY S",
            "address_2": "BUILDING 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342500",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KINGS HWY S",
            "address_2": "BUILDING 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342500",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGPAL",
        "first_name": "KARANDEEP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-02",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB09882700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534986",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.