Individual provider Active NPI

Gurbir S. Khera, M.D.

  • Psychiatry Physician
  • Manalapan, NJ
National Provider Identifier
1871667204
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA04666000 Issued in NJ
Practice address
28 Briar Hill Dr Ste 4
Manalapan, NJ 07726-3021
Phone
(732) 530-2900
NPI assigned
Nov 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA04666000 NJ Primary

Addresses

Primary practice location

28 Briar Hill Dr Ste 4
Manalapan, NJ 07726-3021

Mailing address

PO Box 148
Manalapan, NJ 07726-0148
Phone (732) 530-2900

Other identifiers 1

IdentifierTypeStateIssuer
3757609MedicaidNJ

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
I20040910000792 NJ Practitioner - Psychiatry 5991772964 Practice locations: Manalapan, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Briar Hill Dr
Suite 4
Manalapan, NJ 07726-3021
Phone (732) 530-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04666000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavioral Wellness Center at Girard Past Accepting new patients
Meridian Hospitals Corporation, Inc. Dba Riverview Medical Center Psychiatry Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1871667204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077260148",
            "telephone_number": "732-530-2900",
            "fax_number": "732-780-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BRIAR HILL DR STE 4",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263021",
            "telephone_number": "732-530-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHERA",
        "first_name": "GURBIR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-18",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA04666000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3757609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.