Individual provider Active NPI

Indravadan U Kapadia, PA-C

  • Surgical Physician Assistant
  • Denville, NJ
National Provider Identifier
1578736427
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MP00280 Issued in NJ
Practice address
33 Front St
Denville, NJ 07834-2511
Phone
(973) 625-7423
Fax
(973) 877-2954
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MP00280 NJ Primary

Addresses

Primary practice location

33 Front St
Denville, NJ 07834-2511

Mailing address

33 Front St
Denville, NJ 07834-2511
Phone (973) 625-7423

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000318 NJ Practitioner - Physician Assistant 8729150933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Avenue Professional Services, PCGroup PAC ID 7214258003, 49 clinicians

Practice addresses (Care Compare)

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP00280NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Michaels Physician Services PC PastSince Feb 23, 2013 Accepting new patients
General Vascular Surgical Associates PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1578736427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FRONT ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342511",
            "telephone_number": "973-625-7423",
            "fax_number": "973-877-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FRONT ST",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342511",
            "telephone_number": "973-625-7423",
            "fax_number": "973-877-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPADIA",
        "first_name": "INDRAVADAN",
        "middle_name": "U",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "MP00280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.