Individual provider Active NPI

Dhvani Kothari, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1568923696
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA11444200 Issued in NJ
Practice address
1000 Tenth Avenue
Dept. of Emergency Medicine RM Ge-01
New York, NY 10019
Phone
(212) 523-8158
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 25MA11444200 NJ Primary

Addresses

Primary practice location

1000 Tenth Avenue
Dept. of Emergency Medicine RM Ge-01
New York, NY 10019

Mailing address

1000 Tenth Avenue
Dept. of Emergency Medicine RM Ge-01
New York, NY 10019
Phone (631) 662-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220725000014 NJ Practitioner - Emergency Medicine 1557691680 Reassigns benefits to 1 organization
I20251028003772 NY Practitioner - Emergency Medicine 1557691680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians

Practice addresses (Care Compare)

1517 Richmond Ave
Point Pleasant Boro, NJ 08742-3056
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.17 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
15.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11444200NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Hudson River Valley Medical PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1945 Corlies Ave
#33
Neptune City, NJ 07753
Phone (732) 776-4203

1517 Richmond Ave
Point Pleasant Boro, NJ 08742
Phone (732) 295-6377

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

400 Westage Business Ctr Dr
Ste 102A
Fishkill, NY 12524
Phone (845) 848-3626

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 2

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1568923696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TENTH AVENUE",
            "address_2": "DEPT. OF EMERGENCY MEDICINE RM GE-01",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "631-662-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TENTH AVENUE",
            "address_2": "DEPT. OF EMERGENCY MEDICINE RM GE-01",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-523-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "DHVANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA11444200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.