Active NPI
Kishore Ratkalkar, MD
- Internal Medicine Physician
- Old Bridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA0450600
- Practice address
- 26 Throckmorton LN
Old Bridge, NJ 08857-2520 - Phone
- (732) 679-9950
- Fax
- (732) 679-9956
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA0450600 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA0450600 | NJ | Primary |
Addresses
Primary practice location
26 Throckmorton LN
Old Bridge, NJ 08857-2520
Mailing address
26 Throckmorton LN
Old Bridge, NJ 08857-2520
Phone (732) 679-9950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111004 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000
300 Perrine Rd
Suite 324
Old Bridge, NJ 08857-3628
Phone (732) 753-9890
530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 442-3700
65 James St
Lot G
Edison, NJ 08820-3947
Phone (732) 321-7487
985 Cedar Bridge Ave
Brick, NJ 08723-4167
Phone (732) 477-5600
Hospital & facility affiliations
- Hackensack Meridian JFK at Home
- Raritan Bay Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0450600 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Internal Medicine | Current | Accepting new patients |
| Meridian Medical Group - Specialty Care, PC | Internal Medicine | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
65 James St
Edison, NJ 08820
Phone (732) 321-7010
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
26 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 257-1600
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
Interoperability endpoints
- kishore.ratkalkar@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Internal Medicine
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Iselin, NJ
- NPI 1841943891
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1942369947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 THROCKMORTON LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572520",
"telephone_number": "732-679-9950",
"fax_number": "732-679-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 THROCKMORTON LN",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572520",
"telephone_number": "732-679-9950",
"fax_number": "732-679-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATKALKAR",
"first_name": "KISHORE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA0450600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA0450600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
- Noel Rapp, MSW,LSW
- Raritan Bay Infectious Diseases Consultants,PA
- Raritan Bay Medical Center Professional Services
- Raritan Bay Medical Center Professional Services
- Raritan Bay Surgical Partners LLC
- Ravindra Patel MD PA
- Mark Ravinsky
- Rbidc
- Reel Optics LLC
- Reformed Church Ministries to the Aging, the Particular Synod of the M
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.