Individual provider Active NPI

Manjinder Kaur

  • Nurse Practitioner
  • Hoboken, NJ
National Provider Identifier
1760126163
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01299400 Issued in NJ
Practice address
300 Hudson St
Hoboken, NJ 07030-5897
Phone
(201) 792-5900
Fax
(201) 792-5320
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01299400 NJ Primary

Addresses

Primary practice location

300 Hudson St
Hoboken, NJ 07030-5897

Mailing address

107 Grant Ave
Carteret, NJ 07008-2746

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001504 NJ Practitioner - Nurse Practitioner 6305332362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 N 3Rd Ave
Highland Park, NJ 08904-2408

570 Egg Harbor Rd
Suite B2
Sewell, NJ 08080-2359

PO Box
Philadelphia, PA 19182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01299400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Parikh M D P a Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients

Locations

18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094

25 Kensington Ave
Jersey City, NJ 07304
Phone (201) 434-4932

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.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1760126163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRANT AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HUDSON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305897",
            "telephone_number": "201-792-5900",
            "fax_number": "201-792-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANJINDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01299400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.