Individual provider Active NPI

Jasbir K Kasuri, M.D.

  • Nephrology Physician
  • Edison, NJ
National Provider Identifier
1841234473
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA54616 Issued in NJ
Practice address
340 Route 1
Redwood Avenue
Edison, NJ 08817-4489
Phone
(732) 777-1010
Fax
(732) 777-1266
NPI assigned
Jun 15, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA54616 NJ Primary

Addresses

Primary practice location

340 Route 1
Redwood Avenue
Edison, NJ 08817-4489

Mailing address

340 Route 1
Redwood Avenue
Edison, NJ 08817-4489
Phone (732) 777-1010

Other identifiers 1

IdentifierTypeStateIssuer
6079105MedicaidNJ

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
I20050622000074 NJ Practitioner - Internal MedicinePractitioner - Nephrology 9537104435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 Route 1
Edison, NJ 08817-4489
Phone (732) 777-1010

340 Route 1 N
Red Wood Ave
Edison, NJ 08817-4489

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA54616NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasbir .K.Kasuri.MD.PC Nephrology CurrentSince Nov 17, 2012 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

340 Route 1
Edison, NJ 08817
Phone (732) 777-1010

340 US Highway 1
Edison, NJ 08817
Phone (732) 777-1010

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, 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1841234473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROUTE 1",
            "address_2": "REDWOOD AVENUE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174489",
            "telephone_number": "732-777-1010",
            "fax_number": "732-777-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROUTE 1",
            "address_2": "REDWOOD AVENUE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174489",
            "telephone_number": "732-777-1010",
            "fax_number": "732-777-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASURI",
        "first_name": "JASBIR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA54616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6079105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.