Individual provider Active NPI

Smita Agarwal, MD

  • Dermatology Physician
  • Bridgewater, NJ
National Provider Identifier
1982675633
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA07870700 Issued in NJ
Practice address
745 Route 202/206
Suite 102
Bridgewater, NJ 08807-1758
Phone
(908) 393-9755
Fax
(908) 393-9757
NPI assigned
Jan 31, 2006
Last updated
Dec 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA07870700 NJ Primary

Addresses

Primary practice location

745 Route 202/206
Suite 102
Bridgewater, NJ 08807-1758

Mailing address

745 Route 202/206
Suite 102
Bridgewater, NJ 08807-1758
Phone (908) 393-9755

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
I20050912000424 NJ Practitioner - Dermatology 8527090240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Center of New Jersey, PCGroup PAC ID 1355492372, 4 clinicians

Practice addresses (Care Compare)

745 US Hwy 202/206
Suite 102
Bridgewater, NJ 08807-1758
Phone (908) 393-9755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions453
Skin biopsy274

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07870700NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Center of New Jersey, PC Dermatology CurrentSince May 1, 2009 Accepting new patients
The Dermatology Group Dermatology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIGAA
  • Direct secure messaging: sagarwal59086@epicdirect.rwjbh.org

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.

Hospital & facility affiliations 2

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1982675633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ROUTE 202/206",
            "address_2": "SUITE 102",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-393-9755",
            "fax_number": "908-393-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ROUTE 202/206",
            "address_2": "SUITE 102",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "908-393-9755",
            "fax_number": "908-393-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "SMITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA07870700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.