Ms Swosty Tuladhar, MD - Medicare Rheumatology in Berkeley Heights, NJ

  1. Home
  2. Rheumatology
  3. NJ
  4. Berkeley Heights
Ms Swosty Tuladhar, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Berkeley Heights, New Jersey. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Summit Medical Group Pa and her current practice location is 1 Diamond Hill Road, Bensley Pavilion, 3rd Floor, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 277-8640.

Ms Swosty Tuladhar is licensed to practice in New Jersey (license number 25MA09287200) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437593035.

Contact Information

Ms Swosty Tuladhar, MD
1 Diamond Hill Road, Bensley Pavilion, 3rd Floor,
Berkeley Heights, NJ 07922
(908) 277-8640
Not Available

Map and Direction




Physician's Profile

Full NameMs Swosty Tuladhar
GenderFemale
SpecialityRheumatology
Experience18 Years
Location1 Diamond Hill Road, Berkeley Heights, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Swosty Tuladhar graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1437593035
  • Provider Enumeration Date: 04/25/2013
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022246461
  • Enrollment ID: I20140110001261

Medical Identifiers

Medical identifiers for Ms Swosty Tuladhar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437593035NPI-NPPES
1437593035OtherNJNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 25MA09287200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Swosty Tuladhar allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Swosty Tuladhar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Swosty Tuladhar, MD
14 Elder Dr,
Edison, NJ 08837-3088

Ph: (732) 516-9865		Ms Swosty Tuladhar, MD
1 Diamond Hill Road, Bensley Pavilion, 3rd Floor,
Berkeley Heights, NJ 07922

Ph: (908) 277-8640

Reviews and Comments


Internal Medicine Doctors in Berkeley Heights, NJ

Silpa Gadiraju, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-673-7336
Dr. John H Dokko, DO
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-277-8808
Dr. Lawrence J Nastro, MD
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-273-4300    Fax: 908-277-8825
Christopher M Boni, DO
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-277-8683    Fax: 908-608-2378
Dr. Jeffrey Okun, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Michele Elkins, M.D
Rheumatology
Medicare: Medicare Enrolled
Practice Location: 1060 Mountain Ave, Berkeley Heights, NJ 07922
Phone: 908-464-6740    
Shruti P Dhorajia, D.O.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.