Organization Active NPI

Jasbir .K.Kasuri.MD.PC

  • Nephrology Physician
  • Edison, NJ
National Provider Identifier
1962415323
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA054616 Issued in NJ
Legal business name
JASBIR .K.KASURI.MD.PC
Practice address
340 US Highway 1
Edison, NJ 08817-4489
Phone
(732) 777-1010
Fax
(732) 777-1266
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Jasbir K Kasuri, MDNPI 1841234473
Title
President
Phone
(732) 777-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MA054616 NJ Primary

Addresses

Primary practice location

340 US Highway 1
Edison, NJ 08817-4489

Mailing address

340 Route 1
Redwood Ave
Edison, NJ 08817-4489
Phone (732) 777-1010

Other identifiers 1

IdentifierTypeStateIssuer
6079105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000474 NJ Part B Supplier - Clinic/Group Practice 9931353687 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

340 Route 1
Edison, NJ 08817
Phone (732) 777-1010

340 US Highway 1
Edison, NJ 08817
Phone (732) 777-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1962415323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROUTE 1",
            "address_2": "REDWOOD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174489",
            "telephone_number": "732-777-1010",
            "fax_number": "732-777-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 US HIGHWAY 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174489",
            "telephone_number": "732-777-1010",
            "fax_number": "732-777-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASBIR .K.KASURI.MD.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "KASURI",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-777-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA054616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6079105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.