Active NPI
Ashwini Kumar Neelgund, M.D.
- Psychosomatic Medicine Physician
- Matawan, NJ
National Provider Identifier
1487869574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- MA06330800
- Practice address
- 4122 Route 516
Suite C
Matawan, NJ 07747-7031 - Phone
- (732) 679-4500
- Fax
- (732) 679-4549
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | MA06330800 | NJ | Primary |
Addresses
Primary practice location
4122 Route 516
Suite C
Matawan, NJ 07747-7031
Mailing address
4122 Route 516
Suite C
Matawan, NJ 07747-7031
Phone (732) 679-4500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100317000505 | NJ | Practitioner - Psychiatry | 1658406541 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA06330800 | NJ | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valeo Behavioral Health, Inc. | Current | Accepting new patients | |
| Seacrest Medical Associates, P.a. | Past | Accepting new patients | |
| Stress Care Medical Group | Past | Accepting new patients | |
| Pinnicle Behavioral Health, LLC | Past | Accepting new patients |
Locations
2911 Route 88
Ste E8
Point Pleasant Boro, NJ 08742
Phone (732) 295-1008
Organizations & group practices 4
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.
-
- Prescribing (Medical) Psychologist
- Point Pleasant Boro, NJ
- NPI 1851677033
NJ
-
- Prescribing (Medical) Psychologist
- Point Pleasant, NJ
- NPI 1285953976
-
- Psychiatry Physician
- Newark, NJ
- NPI 1164489621
-
- Internal Medicine Physician
- Manalapan, NJ
- NPI 1386270890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1487869574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 ROUTE 516",
"address_2": "SUITE C",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077477031",
"telephone_number": "732-679-4500",
"fax_number": "732-679-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 ROUTE 516",
"address_2": "SUITE C",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077477031",
"telephone_number": "732-679-4500",
"fax_number": "732-679-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELGUND",
"first_name": "ASHWINI",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NJ",
"license": "MA06330800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.