Active NPI
Nirag C Jhala, MD
- Anatomic Pathology & Clinical Pathology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA12114600
- Practice address
- 195 Little Albany St
New Brunswick, NJ 08901-1914 - Phone
- (732) 235-2465
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD063846L | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA12114600 | NJ | Primary |
Addresses
Primary practice location
195 Little Albany St
New Brunswick, NJ 08901-1914
Mailing address
379 Campus Dr FL 4
Somerset, NJ 08873-1161
Other practice location 1
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-9724
Other practice location 2
3401 N Broad St
Philadelphia, PA 19140-5189
Phone (215) 707-4353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010033CH121623 | Other | AL | SECTION 1011 |
| H12623 | Other | AL | VIVA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090313000307 | PA | Practitioner - Pathology | 1355407537 | Reassigns benefits to 2 organizations |
| I20240517001225 | NJ | Practitioner - Pathology | 1355407537 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12114600 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD063846L | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients |
Locations
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
Organizations & group practices 11
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1770510729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAMPUS DR FL 4",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 LITTLE ALBANY ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011914",
"telephone_number": "732-235-2465"
}
],
"practiceLocations": [
{
"address_1": "2450 W Hunting Park Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191291302",
"country_code": "US",
"telephone_number": "215-707-9724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405189",
"country_code": "US",
"telephone_number": "215-707-4353",
"fax_number": "215-707-2781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JHALA",
"first_name": "NIRAG",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD063846L",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA12114600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECTION 1011",
"identifier": "010033CH121623",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "H12623",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.