AJAY KUMAR M.D.
NPI 1871545111
Physical Medicine & Rehabilitation - Pain Medicine in Watchung, NJ

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
459 WATCHUNG AVE, WATCHUNG, NJ 07069(973) 756-2424 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ajay Kumar M.d. NPPES

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

AJAY KUMAR M.D. (NPI 1871545111) is an individual pain medicine provider in Watchung, New Jersey, licensed in New Jersey (25MA07877200) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1871545111
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameAJAY KUMARCredential: M.D.
Location Address459 WATCHUNG AVEWatchung, NJ 07069-4945
Mailing Address10 Sunrise DrParsippany, NJ 07054-4367 · (973) 756-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 16, 2006
Last NPPES UpdateNovember 10, 2010
NPI 1871545111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses Licensed in NJ · 25MA07877200 Licensed in PA · MD423585
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
459 WATCHUNG AVE, Watchung, NJ 07069

Other Identifiers 1

Medicare UPINI06877NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ajay 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 ID3476530825
PECOS Enrollment IDI20040702000495, I20050718000124, I20070911000858
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.

Areas of Expertise CMS Part B claims 23

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.
773 services213 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
171 services106 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
136 services22 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.
130 services49 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
129 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
127 services126 patients

Hospital Affiliations CMS Care Compare 3

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
5%443 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
1%726 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%377 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
29%377 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%377 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Physical Therapy Assistant
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Physical Therapy Assistant
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Physical Medicine & Rehabilitation (Pain Medicine)
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Chiropractor
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Chiropractor
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Physical Therapy Assistant
459 WATCHUNG AVE
WATCHUNG, NJ 07069
Physical Therapist
459 WATCHUNG AVE
WATCHUNG, NJ 07069

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 Ajay Kumar's NPI number?

The NPI number for Ajay Kumar is 1871545111. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Ajay Kumar located?

Ajay Kumar practices at 459 Watchung Ave, Watchung, NJ 07069. The listed phone number is (973) 756-2424.

What is Ajay Kumar's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Ajay Kumar enrolled in Medicare?

Yes. Ajay 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.

Is Ajay Kumar affiliated with any hospitals?

According to CMS data, Ajay Kumar is affiliated with Newton Medical Center, Bon Secours Community Hospital and Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Kumar was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.