Active NPI
Jasbir .K.Kasuri.MD.PC
- Nephrology Physician
- Edison, NJ
National Provider Identifier
1962415323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA054616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasbir K Kasuri, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6079105 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Edison, NJ
- NPI 1841234473
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.