Individual provider Active NPI

Nagesh B. Krish, M.D., P.A.

  • Neurology Physician
  • Union City, NJ
National Provider Identifier
1710918115
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA062034 Issued in NJ
Practice address
727 1Oth Street
Union City, NJ 07087
Phone
(201) 864-5252
Fax
(201) 864-9955
NPI assigned
Jul 5, 2006
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MA062034 NJ Primary

Addresses

Primary practice location

727 1Oth Street
Union City, NJ 07087

Mailing address

PO Box 691
Hoboken, NJ 07030-0691
Phone (201) 864-5252

Other identifiers 1

IdentifierTypeStateIssuer
6532306MedicaidNJ

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
I20091228000020 NJ Practitioner - NeurologyPractitioner - Sleep Medicine 5294875118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062034NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
N. Krish M.D. PA Neurology CurrentSince Jul 6, 1995 Accepting new patients
Cardio Pulmonary Diagnostic LLC Past Accepting new patients
Institute for Better Breathing PC Past Accepting new patients
N.Krish M.D. P.a PastSince Jul 6, 1995 Accepting new patients

Locations

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

727 10th St
Union City, NJ 07087
Phone (201) 864-5252

Interoperability endpoints

  • Direct secure messaging: krish.nagesh.004.0300024@kris.meditab.direct-ci.com
  • Direct secure messaging: nagesh.krish@direct.hobokenumc.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1710918115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070300691",
            "telephone_number": "201-864-5252",
            "fax_number": "201-864-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 1OTH STREET",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-864-5252",
            "fax_number": "201-864-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISH",
        "first_name": "NAGESH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA062034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6532306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.