Individual provider Active NPI

Nishant P. Reddy

  • Otolaryngology Physician
  • East Windsor, NJ
National Provider Identifier
1780974899
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA09829200 Issued in NJ
Practice address
300B Princeton Hightstown Rd Ste 202
East Windsor, NJ 08520-1400
Phone
(609) 710-6673
Fax
(609) 710-6674
NPI assigned
Apr 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA09829200 NJ Primary

Addresses

Primary practice location

300B Princeton Hightstown Rd Ste 202
East Windsor, NJ 08520-1400

Mailing address

1205 Bridle Estates Dr
Yardley, PA 19067-3958

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.njent.com

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
I20160817002151 NJ Practitioner - Otolaryngology 6901191873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ ENT and Facial Plastic Surgery LLCGroup PAC ID 8729461553, 3 clinicians

Practice addresses (Care Compare)

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (609) 710-6673

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ ENT and Facial Plastic Surgery LLC Otolaryngology CurrentSince Jun 28, 2022 Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Past Accepting new patients

Locations

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

5 Greentree Ctr
#117
Marlton, NJ 08053

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

Interoperability endpoints

  • Direct secure messaging: nreddy425408@direct.ahsys.org
  • Direct secure messaging: nreddy@njent.emadirect.md

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.

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1780974899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BRIDLE ESTATES DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD STE 202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "609-710-6673",
            "fax_number": "609-710-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NISHANT",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2022-09-23",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA09829200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.njent.com",
            "affiliation": "N",
            "address_1": "300B Princeton Hightstown Rd Ste 202",
            "city": "East Windsor",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085201400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.