NPIMap

Individual provider Active NPI

Krithika Mullengada, MD

  • Internal Medicine Physician
  • Succasunna, NJ
National Provider Identifier
1992785562
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA073248 Issued in NJ
Practice address
66 Sunset Strip Ste 407
Northwest Medical Care, LLC
Succasunna, NJ 07876-1362
Phone
(973) 252-1676
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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 MA073248 NJ Primary

Addresses

Primary practice location

66 Sunset Strip Ste 407
Northwest Medical Care, LLC
Succasunna, NJ 07876-1362

Mailing address

16 Hemingway Dr
Ledgewood, NJ 07852-2322
Phone (973) 252-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000039 NJ Practitioner - Internal Medicine 8022080514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 Sunset Strip
Suite 407
Succasunna, NJ 07876-1362
Phone (973) 252-1676

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Visiting Nurse Assoc of Northern New Jersey, Inc Home health agency, Morristown, NJ, CCN 317002
  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Ennoble Care Hospice, Hackettstown, NJ, CCN 311585
  • Suncrest Hospice New Jersey, LLC Hospice, Parsippany, NJ, CCN 311595
  • Affinity Care of NJ, LLC Hospice, Brick, NJ, CCN 311591
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025
  • Merry Heart Nursing Home Nursing home, Succasunna, NJ, CCN 315057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA073248NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Care, LLC Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients
Merry Heart Nursing & Conv Cent Past Accepting new patients
North Warren Medical Assoc Past Accepting new patients

Locations

648 State Route 10
Randolph, NJ 07869
Phone (973) 328-1922

66 Sunset Strip
Ste 407
Succasunna, NJ 07876
Phone (973) 252-1166

118 Main St
Succasunna, NJ 07876
Phone (732) 230-3076

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFFCAA

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1992785562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEMINGWAY DR",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078522322",
            "telephone_number": "973-252-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP STE 407",
            "address_2": "NORTHWEST MEDICAL CARE, LLC",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761362",
            "telephone_number": "973-252-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENGADA",
        "first_name": "KRITHIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA073248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.