Individual provider Active NPI

Inbarasi Sathiyamoorthy

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1962224485
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15189400 Issued in NJ
Practice address
116 Elizabeth Ave
Edison, NJ 08820-3715
Phone
(732) 406-8747
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15189400 NJ Primary

Addresses

Primary practice location

116 Elizabeth Ave
Edison, NJ 08820-3715

Mailing address

116 Elizabeth Ave
Edison, NJ 08820-3715
Phone (732) 406-8747

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251009003025 NJ Practitioner - Nurse Practitioner 2860999349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Sep 15, 2025 Accepting new patients
Hematology Oncology Consultants LLC PastSince Jan 1, 2025 Accepting new patients

Locations

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

1225 McBride Ave
Ste 202
Woodland Park, NJ 07424
Phone (973) 595-5345

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.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1962224485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELIZABETH AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203715",
            "telephone_number": "732-406-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ELIZABETH AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203715",
            "telephone_number": "732-406-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHIYAMOORTHY",
        "first_name": "INBARASI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15189400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.