Individual provider Active NPI

Ranjana Thakur, MD

  • Internal Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1780732552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07281400 Issued in NJ
Practice address
390 Amwell Rd
Suite 101
Hillsborough, NJ 08844
Phone
(908) 431-9911
Fax
(908) 431-9937
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07281400 NJ Primary

Addresses

Primary practice location

390 Amwell Rd
Suite 101
Hillsborough, NJ 08844

Mailing address

390 Amwell Rd
Suite 101
Hillsborough, NJ 08844
Phone (908) 431-9911

Other identifiers 1

IdentifierTypeStateIssuer
8696004MedicaidNJ

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
I20031211000386 NJ Practitioner - Internal Medicine 3274439039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 Courtyard Dr
Hillsborough, NJ 08844-4257
Phone (908) 431-9911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07281400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amwell Medical Center LLC Internal Medicine CurrentSince Mar 13, 2009 Accepting new patients
East Mountain Hospital Inc Past Accepting new patients
East Mountain Hospital, Inc. Past Accepting new patients
Med on Call Internal Medicine PastSince Apr 6, 2009 Accepting new patients

Locations

105 Raider Blvd
Ste 102
Hillsborough, NJ 08844
Phone (908) 431-9911

390 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 431-9911

711 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 431-9911

Interoperability endpoints

  • Direct secure messaging: rthakur59164@epicdirect.rwjbh.org

Organizations & group practices 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780732552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-9911",
            "fax_number": "908-431-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-431-9911",
            "fax_number": "908-431-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "RANJANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07281400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8696004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.