SKMEHANDRUMDPA – NPI #1316132467
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

SKMEHANDRUMDPA is a preferred provider organization (PPO) located in WALL TOWNSHIP, NJ. NPPES has assigned the NPI number 1316132467 to SKMEHANDRUMDPA on September 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SKMEHANDRUMDPA” is a dba name, the actual legal business name for this organization is SUSHIL K MEHANDRU MD PA. The primary taxonomy selected by this provider is 305R00000X from the Health Care Provider Taxonomy code set, which is classified as Preferred Provider Organization.

The NPI profile was previously updated about 18 years ago on Sep 22, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SKMEHANDRUMDPA below.

NPI Profile for
SUSHIL K MEHANDRU MD PA

NPI Number
1316132467
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUSHIL K MEHANDRU MD PA
Doing Business As (dba): SKMEHANDRUMDPA
Primary location
1925 HWY 35
WALL TOWNSHIP, NJ 07719-3512
Phone: (732) 974-0100 Fax: (732) 974-0137
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSHIL MEHANDRU
MD PRESSIDENT
Phone: (732) 974-0100
Updated
Identifiers

Identifiers for SKMEHANDRUMDPA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ2634201
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305R00000X
- Preferred Provider Organization (Primary)
NJ MA034596

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.