NPIMap

Individual provider Active NPI

Kanika Pravin Mody, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Hackensack, NJ
National Provider Identifier
1891941449
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
25MA09537200 Issued in NJ
Practice address
20 Prospect Ave Ste 200
Hackensack, NJ 07601
Phone
(551) 996-4849
Fax
(551) 996-8089
NPI assigned
Aug 14, 2008
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 249685 NY
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 25MA09537200 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 200
Hackensack, NJ 07601

Mailing address

35 Pine Rd
Allendale, NJ 07401-1342
Phone (551) 804-7679

Other practice location 1

735 Midwood Rd
Ridgewood, NJ 07450-5537
Phone (551) 804-7679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930000976 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759439813 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Suite 201
Hackensack, NJ 07601-1999
Phone (551) 996-4849

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Humc Cardiovascular Partners, PC CurrentSince Jan 29, 2019 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Sep 1, 2014 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Dec 28, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

350 Engle St
#3E
Englewood, NJ 07631
Phone (201) 608-2506

20 Prospect Ave
Ste 200
Hackensack, NJ 07601
Phone (201) 224-0050

20 Prospect Ave
Ste 201
Hackensack, NJ 07601
Phone (201) 996-4849

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: kanika.mody@direct.hackensackmeridian.org

Organizations & group practices 7

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 9

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1891941449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PINE RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011342",
            "telephone_number": "551-804-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 200",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-4849",
            "fax_number": "551-996-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Midwood Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074505537",
            "country_code": "US",
            "telephone_number": "551-804-7679",
            "fax_number": "201-447-7018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODY",
        "first_name": "KANIKA",
        "middle_name": "PRAVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249685",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NJ",
            "license": "25MA09537200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.