Individual provider Active NPI

Satya D Narisety, M.D.

  • Allergy & Immunology Physician
  • West Orange, NJ
National Provider Identifier
1942407861
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA08997400 Issued in NJ
Practice address
622 Eagle Rock Ave Ste G3
West Orange, NJ 07052-2994
Phone
(973) 424-1300
Fax
(972) 424-1722
NPI assigned
Jul 3, 2007
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 245224 NY
Pediatrics Physician 208000000X 25MA08997400 NJ
Pediatrics Physician 208000000X 245224 NY
Allergy & Immunology Physician 207K00000X 25MA08997400 NJ Primary

Addresses

Primary practice location

622 Eagle Rock Ave Ste G3
West Orange, NJ 07052-2994

Mailing address

622 Eagle Rock Ave Ste G3
West Orange, NJ 07052-2994
Phone (908) 295-7488

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.njallergymd.com

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
I20121025000017 NJ Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4587814702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

622 Eagle Rock Ave
Suite G3
West Orange, NJ 07052-2994
Phone (973) 424-1300

Merit-based Incentive Payment System (MIPS)

Final score
60.12 of 100Reported as group
Quality
77.95
Promoting interoperability
0
Improvement activities
40
Cost
72.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245224NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Feb 1, 2024 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

622 Eagle Rock Ave
Ste G3
West Orange, NJ 07052
Phone (973) 424-1300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1942407861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE STE G3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "908-295-7488",
            "fax_number": "972-424-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE STE G3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-424-1300",
            "fax_number": "972-424-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARISETY",
        "first_name": "SATYA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "245224",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08997400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "245224",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08997400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.njallergymd.com",
            "affiliation": "N",
            "address_1": "48 Chestnut St",
            "city": "Livingston",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070395502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.