Individual provider Active NPI

Mehandar Kumar, M.D

  • Internal Medicine Physician
  • Keansburg, NJ
National Provider Identifier
1790082550
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09474900 Issued in NJ
Practice address
100 Main St
Keansburg, NJ 07734-1725
Phone
(732) 787-0568
Fax
(732) 787-0270
NPI assigned
Feb 14, 2011
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09474900 NJ Primary
Hematology & Oncology Physician 207RH0003X 25MA09474900 NJ

Addresses

Primary practice location

100 Main St
Keansburg, NJ 07734-1725

Mailing address

100 Main St
Keansburg, NJ 07734-1725
Phone (732) 787-0568

Other practice location 1

702 N Beers St Ste 7
Holmdel, NJ 07733-1510
Phone (732) 264-8788

Other practice location 2

200 Perrine Rd Ste 221
Old Bridge, NJ 08857-2836
Phone (732) 264-1163

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
I20150223001312 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0941442560 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
GK Health, PCGroup PAC ID 2062787807, 2 clinicians
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Practice addresses (Care Compare)

100 Main St
Keansburg, NJ 07734-1725
Phone (732) 264-1163

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-6331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincroft Medical Associates, LLC Hematology & Oncology CurrentSince Jun 1, 2021 Accepting new patients
St Josephs Medical Group PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Subacute Medical Associates Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Holmdel Physician Associates CurrentSince Feb 9, 2015 Accepting new patients
Liberty Med Associates LLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Beacon Radiology Solutions LLC CurrentSince Feb 9, 2015 Accepting new patients
St. Joseph's Healthcare, Inc. Internal Medicine CurrentSince Mar 10, 2018 Accepting new patients
GK Health, PC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
North Bergen Hospitalists CurrentSince Jun 1, 2016 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

702 N Beers St
Ste 7
Holmdel, NJ 07733
Phone (732) 264-8788

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

100 Main St
Keansburg, NJ 07734
Phone (732) 264-1163

319 Main St
Ste B4
Keansburg, NJ 07734
Phone (732) 787-0568

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

200 Perrine Rd
Ste 221
Old Bridge, NJ 08857
Phone (732) 264-1163

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

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

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

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

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: kumar.mehandar.009.0300274@gkhpc.meditab.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1790082550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341725",
            "telephone_number": "732-787-0568",
            "fax_number": "732-787-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341725",
            "telephone_number": "732-787-0568",
            "fax_number": "732-787-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 N Beers St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331510",
            "country_code": "US",
            "telephone_number": "732-264-8788",
            "fax_number": "732-264-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Perrine Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572836",
            "country_code": "US",
            "telephone_number": "732-264-1163",
            "fax_number": "732-264-3580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MEHANDAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09474900",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09474900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keansburg, NJ

Sources for this page

Verify at the official NPI Registry.