Pankaj Shirolawala MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07849500 Issued in NJ

Legal business name

PANKAJ SHIROLAWALA MD LLC

Practice address

609 Amboy Ave Ste 101
Perth Amboy, NJ 08861-2577

Phone

(732) 442-2211

Fax

(732) 326-0517

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Pankaj R Shirolawala, MDNPI 1003882523

Title

Physician - Single Owner - LLC

Phone

(732) 442-2211

Specialties & licenses 1

Addresses

Other names 1

• Dr. Pankaj Shirolawala MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pankaj R Shirolawala, M.D.

  • Internal Medicine Physician
  • Perth Amboy, NJ
  • NPI 1003882523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1013103712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ARIZONA AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574317",
            "telephone_number": "732-442-2211",
            "fax_number": "732-326-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AMBOY AVE STE 101",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-2211",
            "fax_number": "732-326-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKAJ SHIROLAWALA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "SHIROLAWALA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN - SINGLE OWNER - LLC",
        "authorized_official_telephone_number": "732-442-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07849500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Pankaj Shirolawala MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Osemene, DPM
• Adebisi A Osho-Okunnubi, FNP
• Shaguftha Pabani, DMD
• David Pacquiao, PHARMD
• Shoanyn Myriam Palomeque
• Paramount Chiropractic & Rehabilitation
• Frank Parisi, MD
• Jennifer Park
• Passion Behavioral Health LLC
• Passion Care Center

• Internal Medicine Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.