Individual provider Active NPI

Bobby J Rupani, MD

  • Vascular Surgery Physician
  • Hackettstown, NJ
National Provider Identifier
1467602367
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA08284600 Issued in NJ
Practice address
100 Mountain CT
Hackettstown, NJ 07840-2300
Phone
(908) 523-3301
Fax
(908) 523-3303
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA08284600 NJ
Student in an Organized Health Care Education/Training Program 390200000X 25MA08284600 NJ
Vascular Surgery Physician 2086S0129X 25MA08284600 NJ Primary

Addresses

Primary practice location

100 Mountain CT
Hackettstown, NJ 07840-2300

Mailing address

100 Mountain CT
Hackettstown, NJ 07840-2300
Phone (908) 852-3301

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
I20091204000439 NJ Practitioner - Vascular SurgeryPractitioner - Internal Medicine 1850430877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Internal Medicine
Education
Rutgers School of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

16 US Hwy 206
Stanhope, NJ 07874-3270
Phone (908) 852-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.12 of 100Reported as group
Quality
77.95
Promoting interoperability
0
Improvement activities
40
Cost
72.44

Merit-based Incentive Payment System (MIPS)

Final score
98.96 of 100Reported as group
Quality
93.43
Improvement activities
40
Cost
88.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal238
Leg revascularization (restoring blood flow)38
Removal of tissue12
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Feb 1, 2024 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
General Vascular Surgical Associates PA Specialist Past Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

306 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 877-2580

175 High St
Newton, NJ 07860
Phone (973) 383-2121

61 Main St
Sparta, NJ 07871
Phone (862) 901-8701

16 US Highway 206
Ste C
Stanhope, NJ 07874
Phone (908) 852-3301

16 US Highway 206
Ste A
Stanhope, NJ 07874
Phone (908) 315-3084

Organizations & group practices 3

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 4

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": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1467602367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOUNTAIN CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402300",
            "telephone_number": "908-852-3301",
            "fax_number": "908-523-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNTAIN CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402300",
            "telephone_number": "908-523-3301",
            "fax_number": "908-523-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPANI",
        "first_name": "BOBBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08284600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MA08284600",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA08284600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.