Active NPI
Mohan Govindraj, MD
- Anesthesiology Physician
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA11490600
- Practice address
- 1945 Highway 33
Neptune, NJ 07753 - Phone
- (732) 775-5500
- NPI assigned
- Apr 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MA11490600 | NJ | Primary |
Addresses
Primary practice location
1945 Highway 33
Neptune, NJ 07753
Mailing address
84 Liberty Dr
Dayton, NJ 08810-1614
Phone (908) 616-8483
Other practice location 1
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-5672
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Davis Ave
Neptune, NJ 07753-4488
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
30 Prospect Ave
Hackensack, NJ 07601-1915
3600 Route 66
FL 3
Neptune, NJ 07753
Hospital & facility affiliations
- Jersey Shore University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Jersey Shore Anesthesiology Associates PA | Anesthesiology | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
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 and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Anesthesiology Physician
- Neptune, NJ
- NPI 1538190764
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1669969820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 LIBERTY DR",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101614",
"telephone_number": "908-616-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 HIGHWAY 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07753",
"telephone_number": "732-775-5500"
}
],
"practiceLocations": [
{
"address_1": "150 Bergen St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032496",
"country_code": "US",
"telephone_number": "973-972-5672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOVINDRAJ",
"first_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2022-06-15",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA11490600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.