Active NPI
Northwell Health Medical NJ, PC
- Transplant Hepatology Physician
- Edgewater, NJ
National Provider Identifier
1861173130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Hepatology Physician
- Legal business name
- NORTHWELL HEALTH MEDICAL NJ, PC
- Practice address
- 725 River Rd
Edgewater, NJ 07020-1171 - Phone
- (516) 562-4664
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harmit Kalia, DO
- Title
- Director Strategic Development
- Phone
- (516) 562-4664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NU | ||
| Transplant Hepatology Physician | 207RT0003X | NU | Primary |
Addresses
Primary practice location
725 River Rd
Edgewater, NJ 07020-1171
Mailing address
1111 Marcus Ave Ste M04
New Hyde Park, NY 11042-1034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1861173130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MARCUS AVE STE M04",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201171",
"telephone_number": "516-562-4664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWELL HEALTH MEDICAL NJ, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "KALIA",
"authorized_official_first_name": "HARMIT",
"authorized_official_title_or_position": "DIRECTOR STRATEGIC DEVELOPMENT",
"authorized_official_telephone_number": "516-562-4664",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RT0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Transplant Hepatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.