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DR. HARINI C KUMAR M.D.
NPI 1821380940
Family Medicine in Hoboken, NJ

Active since May 08, 2011PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
122 CLINTON ST, HOBOKEN, NJ 07030(201) 418-3131 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Harini C Kumar M.d. NPPES

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

DR. HARINI C KUMAR M.D. (NPI 1821380940) is an individual family medicine provider in Hoboken, New Jersey, licensed in New Jersey (25MA09364500) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1821380940
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HARINI C KUMARCredential: M.D.
Location Address122 CLINTON STHoboken, NJ 07030-2502
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(201) 418-3131
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2008
Enumeration DateMay 8, 2011
Last NPPES UpdateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1821380940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MA09364500✔ Licensed in NY · 260926
Definition
Family 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.
122 CLINTON ST, Hoboken, NJ 07030
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Secondary Practice Location 1

Location 165 James StEdison, NJ 08820-3947 · Phone (732) 321-7487 · Fax (732) 906-4927

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

Dr. Harini C Kumar 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 ID7214105378
PECOS Enrollment IDI20131121001096
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

5

Medicare enrollment records show Harini Kumar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Sinai School Of Medicine
3.4 mi
Family Medicine
1790 BROADWAY STE 1802
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 99 clinicians in this Medicare group
NPI 1528538774 (212) 530-0624
Garden State Healthcare Associates, LLC
6.4 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Community Hospital Group Inc
21 mi
Specialist
80 JAMES ST, 4TH FLOOR
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 165 clinicians in this Medicare group
NPI 1225251754 (732) 632-1571
Hmh Hospitals Corporation
21 mi
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
NPI 1356016661 (732) 321-7000
Hackensack Meridian Health Medical Group - Primary Care PC
28 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

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

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.

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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

STEVEN J. GARCIA MD
Family Medicine
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-3187
MR. SHIRAZ CEDE YUSSAF M.D
Family Medicine
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-3109
COLUMN-CPH LLC
Clinic/Center
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (339) 368-7696
JULIETTE MARIE WILLIAMS M.D.
Family Medicine
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-3101
HOBOKEN UMC
Clinic/Center (Community Health)
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-2304
JUAN JOEL LATORRE MD
Family Medicine
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-3144
DR. JOSEPH BENJAMIN BAIDOO MD
Student in an Organized Health Care Education/Training Program
122 CLINTON ST
HOBOKEN, NJ 07030
Hudson County (201) 418-3127
DR. JOSEPH NEAL GRESSOCK M.D.
Obstetrics & Gynecology
122 CLINTON ST, POD #2
HOBOKEN, NJ 07030
Hudson County (201) 418-3102

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 Harini Kumar's NPI number?

The NPI number for Harini Kumar is 1821380940. It was assigned to this individual provider in the NPPES registry on May 8, 2011.

Where is Harini Kumar located?

Harini Kumar practices at 122 Clinton St, Hoboken, NJ 07030. The listed phone number is (201) 418-3131.

What is Harini Kumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harini Kumar enrolled in Medicare?

Yes. Harini Kumar 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 Harini Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harini Kumar reassigns Medicare benefits to 5 organizations: Mount Sinai School Of Medicine (New York, NY), Garden State Healthcare Associates, LLC (Bayonne, NJ), Community Hospital Group Inc (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Harini Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harini Kumar accept?

Health plans from Oscar Health list Harini Kumar 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 Harini Kumar affiliated with any hospitals?

According to CMS data, Harini Kumar is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Harini Kumar was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.