Individual provider Active NPI

Kalpana Cheeti, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hackensack, NJ
National Provider Identifier
1649352857
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA07441900 Issued in NJ
Practice address
15 Anderson St
Hackensack, NJ 07601-4508
Phone
(201) 487-3355
Fax
(201) 487-0960
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07441900 NJ Primary

Addresses

Primary practice location

15 Anderson St
Hackensack, NJ 07601-4508

Mailing address

15 Anderson St
Hackensack, NJ 07601-4508
Phone (201) 487-3355

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000151 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9335186022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Avenue Medical PAGroup PAC ID 2860580628, 3 clinicians

Practice addresses (Care Compare)

5 Summit Ave
Suite 101
Hackensack, NJ 07601-1271
Phone (201) 646-0001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Avenue Medical PA Geriatric Medicine CurrentSince Jun 30, 2009 Accepting new patients
Regional Physician Services, NJ, PC Past Accepting new patients
Regional Physician Services, PC Geriatric Medicine Past Accepting new patients
New Jersey Outpatient Services PA PastSince Jul 1, 2016 Accepting new patients

Locations

5 Summit Ave
Ste 101
Hackensack, NJ 07601
Phone (201) 488-5366

5 Summit Ave
Ste 1
Hackensack, NJ 07601
Phone (201) 646-0001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • Direct secure messaging: cheeti.kalpana.001.0300053@sam.meditab.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1649352857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014508",
            "telephone_number": "201-487-3355",
            "fax_number": "201-487-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANDERSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014508",
            "telephone_number": "201-487-3355",
            "fax_number": "201-487-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEETI",
        "first_name": "KALPANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07441900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.