ASHA M VIJAYAKUMAR M.D NPI 1043389083
Internal Medicine in Clark, NJ

Individual Female Years of Experience 40 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About ASHA M VIJAYAKUMAR M.D

Asha Vijayakumar is an internist established in Clark, New Jersey and her medical specialization is Internal Medicine with more than 40 years of experience. The NPI number of Asha Vijayakumar is 1043389083 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number MA07882600 (NJ). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1043389083
Provider Name ASHA M VIJAYAKUMAR M.D
Provider Location Address152 CENTRAL AVE CLARK, NJ 07066
Provider Mailing Address35 AVENUE I MONROE, NJ 08831
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1983
Is Sole Proprietor?No
Enumeration Date11-06-2006
Last Update Date11-02-2015

An internist like Asha M Vijayakumar M.d is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Asha Vijayakumar is enrolled in PECOS and is eligible to order or refer health care 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.

Asha Vijayakumar is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $29.21 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MA07882600
License StateNJ
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

ASHA M VIJAYAKUMAR M.D
152 CENTRAL AVE
CLARK, NJ
ZIP 07066
Phone: (732) 382-9700
Fax: (732) 382-9707

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Mailing Address

ASHA M VIJAYAKUMAR M.D
35 AVENUE I
MONROE, NJ
ZIP 08831
Phone: (908) 477-7011
Fax: (888) 808-8229


PECOS Enrollment and Medicare Participation

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.

Registered in PECOS? Yes
PECOS PAC ID2860415684
PECOS Enrollment IDI20060107000033
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07066 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $150.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $37.64
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $116.86
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $29.21

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 25Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 21X-ray of chest, 2 views, front and side (HCPCS:71020)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0121924MEDICAID (05)NJ
097045N4XMEDICARE PIN (08)NJ

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043389083
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20836818016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 6 + 8 + 1 + 8 + 0 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1043389083 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629167606DR. ROBERT JOSEPH MARTINO DDS
Individual
Dentist (General Practice)152 CENTRAL AVE SUITE 202
CLARK, NJ 07066
(732) 382-8280
1942380548MRS. KATHLEEN MARIE HUGHES MPT
Individual
Physical Therapist152 CENTRAL AVE 2ND FLOOR
CLARK, NJ 07066
(732) 499-4540
1568654192 RAISA SIGALOVA MS, PT
Individual
Physical Therapist152 CENTRAL AVE 2ND FLOOR
CLARK, NJ 07066
(732) 499-4540
1093036436 KWAKYE ERIC ACHEAMPONG PHARM.D
Individual
Pharmacist152 CENTRAL AVE
CLARK, NJ 07066
(732) 815-9320
1689080434MS. SULEIMA ROSARIO-DIAZ APN
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1770743866MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1164817284 ALLISON CARRIE SCEPPAGUERCIO D.M.D.
Individual
Dentist152 CENTRAL AVE #202
CLARK, NJ 07066
(732) 382-8280
1568685980FIRST HEALTH, P.A.
Organization
Family Medicine152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1639601024PARAMUS MULTICARE
Organization
Family Medicine152 CENTRAL AVE
CLARK, NJ 07066
(732) 726-0020
1679006563MRS. NADINE A WILLIAMS APN
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1164952198MRS. SVETLANA JAYSON AGPCNP-BC
Individual
Nurse Practitioner (Gerontology)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1154851475ADMED CENTERS LLC
Organization
Internal Medicine (Addiction Medicine)152 CENTRAL AVE
CLARK, NJ 07066
1043780802 TRACEY COLEMAN NP
Individual
Nurse Practitioner152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700

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
Asha M Vijayakumar M.d is registered as an entity type code: 1. The entity type code describes 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.