Active NPI
Satu Mitrakul, MD
- Nephrology Physician
- Edison, NJ
National Provider Identifier
1619930104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA24685
- Practice address
- 2177 Oak Tree Rd
Suite 204
Edison, NJ 08820-1082 - Phone
- (908) 686-9330
- Fax
- (908) 769-4736
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA24685 | NJ | Primary |
Addresses
Primary practice location
2177 Oak Tree Rd
Suite 204
Edison, NJ 08820-1082
Mailing address
2177 Oak Tree Rd
Suite 204
Edison, NJ 08820-1082
Phone (908) 686-9330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4571908 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA24685 | NJ | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619930104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD",
"address_2": "SUITE 204",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "908-686-9330",
"fax_number": "908-769-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD",
"address_2": "SUITE 204",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "908-686-9330",
"fax_number": "908-769-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITRAKUL",
"first_name": "SATU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA24685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4571908",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.