Individual provider Active NPI

Anju Budhwani, M.D.

  • Internal Medicine Physician
  • Lincoln Park, NJ
National Provider Identifier
1679795835
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07469200 Issued in NJ
Practice address
166 Main St Ste 1a
Lincoln Park, NJ 07035
Phone
(973) 694-6260
Fax
(973) 694-2359
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA07469200 NJ
Internal Medicine Physician 207R00000X 25MA07469200 NJ Primary

Addresses

Primary practice location

166 Main St Ste 1a
Lincoln Park, NJ 07035

Mailing address

166 Main St Ste 1a
Lincoln Park, NJ 07035-1791
Phone (973) 694-6260

Other identifiers 2

IdentifierTypeStateIssuer
0216119MedicaidNJ
125069OtherNJMEDICARE

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
I20080611000745 NJ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4284705757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

166 Main St
Suite 1a
Lincoln Park, NJ 07035-1791
Phone (973) 694-6260

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as individual
Quality
98.67
Improvement activities
40
Cost
81.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Lincoln Park, P.a. CurrentSince Jul 16, 2011 Accepting new patients
NJ Urgentcare Past Accepting new patients

Locations

166 Main St
Ste 1A
Lincoln Park, NJ 07035
Phone (973) 694-6260

Interoperability endpoints

  • Direct secure messaging: budhwani.anju.006.0300202@dab.meditab.direct-ci.com

Organizations & group practices 2

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 3

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1679795835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST STE 1A",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351791",
            "telephone_number": "973-694-6260",
            "fax_number": "973-694-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MAIN ST STE 1A",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "07035",
            "telephone_number": "973-694-6260",
            "fax_number": "973-694-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDHWANI",
        "first_name": "ANJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07469200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07469200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216119",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "125069",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

Verify at the official NPI Registry.