Individual provider Active NPI

Aarti Ravikumar

  • Endocrinology, Diabetes & Metabolism Physician
  • Bridgewater, NJ
National Provider Identifier
1578844007
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA10860600 Issued in NJ
Practice address
1121 Route 22 Ste 155
Bridgewater, NJ 08807-2982
Phone
(732) 667-1123
NPI assigned
Aug 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA10860600 NJ Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 269618 NY

Addresses

Primary practice location

1121 Route 22 Ste 155
Bridgewater, NJ 08807-2982

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20151014001583 NY Practitioner - Endocrinology 0143539171 Reassigns benefits to 2 organizations
I20201222002972 NJ Practitioner - Endocrinology 0143539171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
State University of New York Downstate Medical Center, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

435 S St
Suite 340
Morristown, NJ 07960-6440
Phone (973) 971-5524

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10860600NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Endrocrinology PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 20, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Feb 17, 2019 Accepting new patients
Montefiore Medical Center Endocrinology, Diabetes & Metabolism CurrentSince Feb 17, 2019 Accepting new patients
Practice Associates Medical Group CurrentSince Dec 1, 2020 Accepting new patients
Westchester Vascular PLLC Past Accepting new patients

Locations

1121 Route 22
Ste 155
Bridgewater, NJ 08807
Phone (732) 667-1123

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

435 South St
Ste 340
Morristown, NJ 07960
Phone (973) 971-4599

111 E 210th St
Bronx, NY 10467

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

504 Gramatan Ave
Mount Vernon, NY 10552
Phone (914) 664-7323

Organizations & group practices 5

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1578844007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 ROUTE 22 STE 155",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072982",
            "telephone_number": "732-667-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIKUMAR",
        "first_name": "AARTI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA10860600",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "269618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.