Individual provider Active NPI

Hilary Grosso Jasutkar, MD, PHD

  • Neurology Physician
  • New York, NY
National Provider Identifier
1760802672
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
292267 Issued in NY
Practice address
710 W 168TH St
Floor 14
New York, NY 10032-3726
Phone
(866) 463-2778
NPI assigned
Apr 17, 2014
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 292267 NY Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 292267 NY

Addresses

Primary practice location

710 W 168TH St
Floor 14
New York, NY 10032-3726

Mailing address

710 W 168TH St
Floor 14
New York, NY 10032-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200501002914 NY Practitioner - NeurologyPractitioner - Other (Physician) 1153752365 Reassigns benefits to 1 organization
I20210830000291 NJ Practitioner - Neurology 1153752365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-7757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
70.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292267NYMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Aug 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Neurology CurrentSince Aug 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Neurology CurrentSince Mar 1, 2020 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Mar 1, 2020 Accepting new patients

Locations

400 Kelby St
Fl 7
Fort Lee, NJ 07024

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

710 W 168th St
Fl 14
New York, NY 10032

Interoperability endpoints

  • Direct secure messaging: hgrossojasutkar95769@epicdirect.rwjbh.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1760802672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "address_2": "FLOOR 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "address_2": "FLOOR 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "866-463-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSO JASUTKAR",
        "first_name": "HILARY",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "292267",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "292267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.