SHILPA SAXENA M.D. NPI 1023291333

Family Medicine in Jersey City, NJ

NPI 1023291333 Individual Female Family Medicine PECOS Enrolled

About SHILPA SAXENA

Shilpa Saxena is a primary care provider established in Jersey City, New Jersey and her medical specialization is family medicine. The NPI number of Shilpa Saxena is 1023291333 and was assigned on December 2007. The practitioner's primary taxonomy code is 207Q00000X with license number BP10027689 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

A primary care provider (PCP) like Shilpa Saxena M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Shilpa Saxena is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Shilpa Saxena is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1023291333

Provider Name SHILPA SAXENA M.D.
Provider Location Address574 SUMMIT AVE 4TH FLOOR , CONCENTRA JERSEY CITY, NJ 07306
Provider Mailing Address574 SUMMIT AVE 4TH FLOOR , CONCENTRA JERSEY CITY, NJ 07306
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date12-10-2007
Last Update Date07-24-2013


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.BP10027689
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

SHILPA SAXENA M.D.
574 SUMMIT AVE
4TH FLOOR , CONCENTRA
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 656-7678
Fax: (201) 656-0664

Get Directions


Mailing Address

SHILPA SAXENA M.D.
574 SUMMIT AVE
4TH FLOOR , CONCENTRA
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 656-7678
Fax: (201) 656-0664



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427177187 RAFAEL S PAZ M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)574 SUMMIT AVE 4TH FLOOR
JERSEY CITY, NJ 07306
(615) 778-4066
1528188950 GARRY G GARCES THERAPY DIR. I
Individual
Occupational Therapist574 SUMMIT AVE 4TH FLOOR
JERSEY CITY, NJ 07306
(615) 778-4066
1154519403DR. PRITESH B. PARMAR M.D.
Individual
Family Medicine574 SUMMIT AVE 4TH FLOOR
JERSEY CITY, NJ 07306
(201) 656-7678
1114042306OCCUPATIONAL HEALTH CENTERS OF NEW JERSEY, P.A.
Organization
Clinic/Center (Health Service)574 SUMMIT AVE 4TH FLOOR
JERSEY CITY, NJ 07306
(201) 656-7678

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.