Shefali Kumar, - Medicare Nurse Practitioner in Hamilton, NJ

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Shefali Kumar, is a medicare enrolled "Nurse Practitioner - Family" in Hamilton, New Jersey. Her current practice location is 1544 Kuser Rd Ste C9, Hamilton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (734) 329-5419.

Shefali Kumar is licensed to practice in New Jersey (license number 26NJ00566900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659759447.

Contact Information

Shefali Kumar,
1544 Kuser Rd Ste C9,
Hamilton, NJ 08619-3830
(734) 329-5419
Not Available

Map and Direction




Provider's Profile

Full NameShefali Kumar
GenderFemale
SpecialityNurse Practitioner - Family
Location1544 Kuser Rd Ste C9, Hamilton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659759447
  • Provider Enumeration Date: 05/12/2015
  • Last Update Date: 04/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375801442
  • Enrollment ID: I20180201001099

Medical Identifiers

Medical identifiers for Shefali Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659759447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00566900 (New Jersey)Primary

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. Shefali Kumar allows following entities to bill medicare on her behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameCommunity Hospital Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225251754
PECOS PAC ID: 3971415209
Enrollment ID: O20031120000589
Entity NameRutgers Health Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891956298
PECOS PAC ID: 2466346770
Enrollment ID: O20040419001021
Entity NameRutgers Health-pcc Monument Square
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912089731
PECOS PAC ID: 1052389582
Enrollment ID: O20040922000258
Entity NamePremier Infectious Diseases Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336284280
PECOS PAC ID: 8022032853
Enrollment ID: O20060119000835
Entity NameHmh Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356016661
PECOS PAC ID: 9032181847
Enrollment ID: O20220304001385

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. Shefali Kumar 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
Shefali Kumar,
8 Park Sq,
Metuchen, NJ 08840-1878

Ph: (732) 397-7314		Shefali Kumar,
1544 Kuser Rd Ste C9,
Hamilton, NJ 08619-3830

Ph: (734) 329-5419

Reviews and Comments


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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.