Individual provider Active NPI

Mrinal Agrawal, MD

  • Pain Medicine (Anesthesiology) Physician
  • Freehold, NJ
National Provider Identifier
1699267377
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA11985800 Issued in NJ
Practice address
1000 W Main St Ste 201
Freehold, NJ 07728-2521
Phone
(609) 890-4080
Fax
(609) 890-4090
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA11985800 NJ
Anesthesiology Physician 207L00000X 25MA11985800 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA11985800 NJ Primary

Addresses

Primary practice location

1000 W Main St Ste 201
Freehold, NJ 07728-2521

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

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
I20231220001785 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8426408261 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olena Medical New Jersey LLC Anesthesiology CurrentSince Sep 21, 2024 Accepting new patients
Premier Brain and Spine, LLC Interventional Pain Medicine CurrentSince Dec 1, 2023 Accepting new patients
Premier Brain and Spine LLC CurrentSince Dec 1, 2023 Accepting new patients
Omnj Division Three LLC Anesthesiology CurrentSince Jun 6, 2025 Accepting new patients

Locations

800 Ryders Ln
East Brunswick, NJ 08816
Phone (732) 238-0923

143 Anderson Ave
Fairview, NJ 07022
Phone (201) 402-7802

1000 W Main St
Ste 201
Freehold, NJ 07728
Phone (609) 890-4080

360 Route 70
Lakewood, NJ 08701
Phone (732) 367-3050

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: mrinal.agrawal.1@21449.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1699267377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MAIN ST STE 201",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282521",
            "telephone_number": "609-890-4080",
            "fax_number": "609-890-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "MRINAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA11985800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11985800",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA11985800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.