Prabhas Trivedi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA07651700 Issued in NJ

Practice address

26 Highway 35 N
Neptune, NJ 07753-4743

Phone

(732) 456-7777

Fax

(848) 251-2189

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Dermatology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.26 of 100Reported as group

Quality

93.24

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807
  Medicare reassignment Care Compare group NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Bayonne, NJ
  • NPI 1487169702
  NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1902856834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4979",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544979",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGHWAY 35 N",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534743",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "PRABHAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07651700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "076559",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1101489",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5490287",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310573",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Township of Neptune
• Transcending Psychiatry LLC
• Melissa Ryan Travers, MSN-FNP-C
• Nidhi Tripathi, MD
• Darshini Trivedi, D.O
• Mary Trotta, CCC-SLP
• Christine Tschoe, MD
• Panagiota Tsetsakos
• Madelyn Tufekcioglu
• Joseph Tulino, PA

• Dermatology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.