NPIMap

Individual provider Active NPI

Pankaja Achar, MD

  • Pulmonary Disease Physician
  • Newark, NJ
National Provider Identifier
1003876186
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
TLH50838 Issued in NJ
Practice address
194 Clinton Ave FL 2
Newark, NJ 07108-2809
Phone
(973) 273-1515
Fax
(973) 230-0883
NPI assigned
Mar 24, 2006
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X TLH50838 NJ Primary

Addresses

Primary practice location

194 Clinton Ave FL 2
Newark, NJ 07108-2809

Mailing address

815 New Dover Rd
Edison, NJ 08820
Phone (732) 662-7475

Other identifiers 1

IdentifierTypeStateIssuer
6459706MedicaidNJ

Other names 1

  • Dr. Pankaja Nagananda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000361 NJ Practitioner - Internal MedicinePractitioner - Emergency Medicine 2769376292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Sullivan Way
Trenton, NJ 08625-0500
Phone (609) 633-1562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TLH50838NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satish R Mehta MD PA Pulmonary Disease CurrentSince Mar 30, 1995 Accepting new patients
Satish Mehta M.D., P.a. Pulmonary Disease CurrentSince Mar 30, 1995 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Perry Emergency Physicians Past Accepting new patients
Middlesex Pulmonary Geriatric Associates LLC Pulmonary Disease Past Accepting new patients
Hogarth Emergency Physicians Past Accepting new patients

Locations

194 Clinton Ave
Fl 2
Newark, NJ 07108
Phone (973) 273-1515

707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1003876186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-662-7475",
            "fax_number": "973-623-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 CLINTON AVE FL 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082809",
            "telephone_number": "973-273-1515",
            "fax_number": "973-230-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHAR",
        "first_name": "PANKAJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "TLH50838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6459706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANKAJA",
            "last_name": "NAGANANDA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.