MS. SWOSTY TULADHAR M.D.
NPI 1437593035
Internal Medicine - Rheumatology in Berkeley Heights, NJ

Q: What is Swosty Tuladhar's NPI number?

The NPI number for Swosty Tuladhar is 1437593035. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Q: What is Swosty Tuladhar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Swosty Tuladhar was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2013PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL ROAD, BENSLEY PAVILION, 3RD FLOOR, BERKELEY HEIGHTS, NJ 07922(908) 277-8640 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 17, 2018 (2 updates tracked since 2018).

On this page

About Ms. Swosty Tuladhar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SWOSTY TULADHAR M.D. (NPI 1437593035) is an individual rheumatology provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA09287200) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1437593035

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameMS. SWOSTY TULADHARCredential: M.D.

Location Address1 DIAMOND HILL ROAD, BENSLEY PAVILION, 3RD FLOORBerkeley Heights, NJ 07922

Mailing Address14 Elder DrEdison, NJ 08837-3088 · (732) 516-9865

Phone(908) 277-8640

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 25, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1437593035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in NJ · 25MA09287200

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1 DIAMOND HILL ROAD, Berkeley Heights, NJ 07922

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Secondary Practice Location 1

Location 114 Elder DrEdison, NJ 08837-3088 · Phone (732) 516-9865

Other Identifiers 1

Other1437593035NJ · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Swosty Tuladhar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022246461

PECOS Enrollment IDI20140110001261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Swosty Tuladhar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group PA

Same address

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

St. Joseph's Healthcare, Inc.

20 mi

Internal Medicine

703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Josephs Healthcare Inc
372 clinicians in this Medicare group

NPI 1497791297 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

13,200 services16 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,380 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

288 services161 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

239 services183 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

214 services158 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

178 services135 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

169 services130 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

163 services131 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

158 services123 patients

Measurement of antibody for assessment of autoimmune disorder, any method 86235

This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.

119 services26 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

83 services32 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

63 services21 patients

Measurement of complement (immune system proteins), antigen, 86160

The measurement of complement (immune system proteins) and antigen is a blood test. It helps to assess how your immune system is functioning. Complement proteins play a role in your body's immune response, and antigens trigger this response. This test helps in diagnosing and monitoring certain diseases.

62 services27 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

60 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

50 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

36 services26 patients

Measurement of antibody for rheumatoid arthritis assessment 86200

This procedure measures the level of certain antibodies in your blood. These antibodies can be higher in people with rheumatoid arthritis, a condition causing joint inflammation. The test helps in diagnosing or monitoring the disease.

30 services30 patients

Rheumatoid factor level 86431

The Rheumatoid Factor Level test is a blood test that helps detect the presence of Rheumatoid Factor (RF), a protein produced by your immune system. High RF levels often indicate autoimmune diseases like rheumatoid arthritis. The test involves a simple blood draw and lab analysis.

28 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services25 patients

Measurement of dna antibody, native or double stranded 86225

The measurement of DNA antibody, native or double stranded, is a blood test that helps detect autoimmune disorders, such as lupus. It identifies if your body is producing antibodies against its own DNA, which can indicate an overactive immune response.

25 services23 patients

Screening test for autoimmune disorder 86038

A screening test for autoimmune disorders is a medical check-up that helps identify if your body's immune system is attacking its own cells. It involves a simple blood draw and analyzes various markers to detect potential issues. This test aids in early detection and effective treatment.

24 services24 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

22 services20 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

20 services18 patients

Analysis of substance using immunoassay technique, multiple step method 83516

This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.

17 services17 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

17 services17 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

15 services14 patients

Measurement of antibody for assessment of autoimmune disorder, titer 86039

This test measures the level of specific antibodies in your blood, which can help in the diagnosis of autoimmune disorders. A titer refers to the concentration of antibodies. High titers can indicate an active autoimmune disease.

15 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

12 services12 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

12 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

12 services12 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD TODD PARIS MD

Family Medicine

1 DIAMOND HILL ROAD
BERKELEY HTS, NEW JERSEY 07922

Union County (908) 277-8878

DANIELLE PITTORE P.A

Physician Assistant (Medical)

1 DIAMOND HILL ROAD
BERKELEY HIGHTS, NJ 07922

Union County (908) 273-4300

MRS. MAUREEN ANN ZAMPELLA NP

Nurse Practitioner (Family)

1 DIAMOND HILL ROAD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

JAIME P FALVEY A.N.P.

Advanced Practice Midwife

1 DIAMOND HILL ROAD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8681

ANUM KHAN WAQAR DO

Internal Medicine

1 DIAMOND HILL ROAD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8625

SUMMIT MEDICAL GROUP PA

Durable Medical Equipment & Medical Supplies

1 DIAMOND HILL ROAD, BENSLEY PAVILION, 1ST FLOOR
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8704

DR. CHUN TU M.D

Internal Medicine

1 DIAMOND HILL ROAD, SUMMIT MEDICAL GROUP
BERKEKEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MELODY TILLYER PA-C

Physician Assistant (Medical)

1 DIAMOND HILL ROAD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swosty Tuladhar's NPI number?

The NPI number for Swosty Tuladhar is 1437593035. It was assigned to this individual provider in the NPPES registry on April 25, 2013.

Where is Swosty Tuladhar located?

Swosty Tuladhar practices at 1 Diamond Hill Road Bensley Pavilion, 3rd Floor, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8640.

What is Swosty Tuladhar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Swosty Tuladhar enrolled in Medicare?

Yes. Swosty Tuladhar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Swosty Tuladhar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swosty Tuladhar reassigns Medicare benefits to 2 organizations: Summit Medical Group PA (Berkeley Heights, NJ) and St. Joseph's Healthcare, Inc. (Paterson, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Swosty Tuladhar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swosty Tuladhar accept?

Health plans from Oscar Health list Swosty Tuladhar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Swosty Tuladhar affiliated with any hospitals?

According to CMS data, Swosty Tuladhar is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Swosty Tuladhar was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.