Individual provider Active NPI

Kavita Rajiv Kewalramani, M.D.

  • Internal Medicine Physician
  • New Providence, NJ
National Provider Identifier
1952528432
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MAO6681000 Issued in NJ
Practice address
535 Mountain Ave
New Providence, NJ 07974-2002
Phone
(908) 516-9245
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MAO6681000 NJ Primary

Addresses

Primary practice location

535 Mountain Ave
New Providence, NJ 07974-2002

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762

Other practice location 1

571 Central Ave Ste 104
New Providence, NJ 07974-1547
Phone (908) 206-4676

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
I20120126000113 NJ Practitioner - Internal Medicine 5890825301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

571 Central Ave
Suite 104
New Providence, NJ 07974-1547
Phone (908) 206-4676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO6681000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Primary Care and Medical Nutrition Center Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

1265 Springfield Ave
New Providence, NJ 07974
Phone (908) 206-4676

571 Central Ave
Ste 104
New Providence, NJ 07974
Phone (908) 206-4676

Interoperability endpoints

  • Direct secure messaging: kavita.kewalramani.1@10612.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1952528432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MOUNTAIN AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742002",
            "telephone_number": "908-516-9245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Central Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "New Providence",
            "state": "NJ",
            "postal_code": "079741547",
            "country_code": "US",
            "telephone_number": "908-206-4676",
            "fax_number": "908-206-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEWALRAMANI",
        "first_name": "KAVITA",
        "middle_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MAO6681000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

Verify at the official NPI Registry.