Active NPI
Jai B Agarwal, MD
- Internal Medicine Physician
- Somerset, NJ
National Provider Identifier
1851477475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA052985
- Practice address
- 1 Jimmy CT
Somerset, NJ 08873-7100 - Phone
- (732) 846-0928
- Fax
- (732) 846-0928
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA52985 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA05298500 | NJ | |
| Internal Medicine Physician | 207R00000X | MA052985 | NJ | Primary |
Addresses
Primary practice location
1 Jimmy CT
Somerset, NJ 08873-7100
Mailing address
1 Jimmy CT
Somerset, NJ 08873-7100
Phone (732) 846-0928
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420701 | Medicaid | NJ | |
| 780222259 | Other | NJ | HORIZON |
| P522059 | Other | NJ | OXFORD |
| 1093650 | Other | NJ | HORIZON NJ HEALTH |
| 53542 | Other | NJ | AETNA |
| 060015487 | Other | NJ | RR MCR PTAN |
| 109108 | Other | NJ | AMERIHEALTH |
| F04677 | Other | NJ | HEALTHNET |
| MI000005200 | Other | NJ | AMERICHOICE |
| 10442 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 123565 | Other | NJ | ONE HEALTH PLAN OF NJ |
| 0359380006 | Other | NJ | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA52985 | NJ | MD | Specialist |
| MA052985 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- New Brunswick, NJ
- NPI 1952332546
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1851477475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JIMMY CT",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088737100",
"telephone_number": "732-846-0928",
"fax_number": "732-846-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JIMMY CT",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088737100",
"telephone_number": "732-846-0928",
"fax_number": "732-846-0928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGARWAL",
"first_name": "JAI",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA52985",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05298500",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA052985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "780222259",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P522059",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1093650",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "53542",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PTAN",
"identifier": "060015487",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "109108",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "F04677",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "MI000005200",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "10442",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN OF NJ",
"identifier": "123565",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0359380006",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.