Individual provider Active NPI

Jasjit Walia, M.D

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
National Provider Identifier
1477573814
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA065019 Issued in NJ
Practice address
1150 Dickinson St
Elizabeth, NJ 07201-2210
Phone
(908) 354-8900
Fax
(908) 354-0007
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA065019 NJ Primary

Addresses

Primary practice location

1150 Dickinson St
Elizabeth, NJ 07201-2210

Mailing address

1150 Dickinson St
Elizabeth, NJ 07201-2210
Phone (908) 354-8900

Other practice location 1

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

Other practice location 2

635 Market St
Newark, NJ 07105-3618
Phone (973) 344-5454

Other identifiers 1

IdentifierTypeStateIssuer
8506108MedicaidNJ

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
I20041111000051 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406841402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1150 Dickinson St
Elizabeth, NJ 07201-2210
Phone (908) 354-8900

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

635 Market St
Newark, NJ 07105-3618
Phone (973) 344-5454

Hospital & facility affiliations

  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
28.36 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
94.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA065019NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Garden State Cardiovascular Specialists P.C Cardiovascular Disease CurrentSince Oct 1, 2002 Accepting new patients
NJ Urgentcare Current Accepting new patients
Cardiology Services of Elizabeth Cardiovascular Disease Past Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 18, 2004 Accepting new patients
State of New Jersey Omb Centralized Payroll Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

240 Williamson St
Ste 402
Elizabeth, NJ 07202
Phone (908) 354-8900

1150 Dickinson St
Elizabeth, NJ 07201
Phone (201) 952-6520

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

550 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 482-4697

635 Market St
Newark, NJ 07105
Phone (201) 952-6520

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

Organizations & group practices 7

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 6

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1477573814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012210",
            "telephone_number": "908-354-8900",
            "fax_number": "908-354-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012210",
            "telephone_number": "908-354-8900",
            "fax_number": "908-354-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Wood Ave",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NJ",
            "postal_code": "070364147",
            "country_code": "US",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Market St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071053618",
            "country_code": "US",
            "telephone_number": "973-344-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALIA",
        "first_name": "JASJIT",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA065019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8506108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.