Individual provider Active NPI

Nilesh Jariwala, MD FAAP

  • Pediatrics Physician
  • Wayne, NJ
National Provider Identifier
1073572848
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA52238 Issued in NJ
Practice address
150 Hinchman Ave
Wayne, NJ 07470-2360
Phone
(973) 595-6996
Fax
(973) 595-6706
NPI assigned
Mar 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA52238 NJ Primary

Addresses

Primary practice location

150 Hinchman Ave
Wayne, NJ 07470-2360

Mailing address

150 Hinchman Ave
Wayne, NJ 07470-2360
Phone (973) 595-6996

Other identifiers 1

IdentifierTypeStateIssuer
MA52238OtherNJLICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA52238NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC Past Accepting new patients
Smalljoys Behavioral Health Services PastSince Nov 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nilesh.jariwala@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073572848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HINCHMAN AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702360",
            "telephone_number": "973-595-6996",
            "fax_number": "973-595-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HINCHMAN AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702360",
            "telephone_number": "973-595-6996",
            "fax_number": "973-595-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARIWALA",
        "first_name": "NILESH",
        "name_prefix": "Dr.",
        "credential": "MD FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA52238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "MA52238",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.