Active NPI
Parul M Kadakia, PA
- Surgical Physician Assistant
- Neptune, NJ
National Provider Identifier
1073701819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00263500
- Practice address
- 2100 Corlies Ave Ste 12
Neptune, NJ 07753-6116 - Phone
- (732) 263-7960
- NPI assigned
- Oct 5, 2007
- Last updated
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 012282 | NY | |
| Surgical Physician Assistant | 363AS0400X | P61126 | NY | |
| Surgical Physician Assistant | 363AS0400X | 25MP00263500 | NJ | Primary |
Addresses
Primary practice location
2100 Corlies Ave Ste 12
Neptune, NJ 07753-6116
Mailing address
2100 Corlies Ave Ste 12
Neptune, NJ 07753-6116
Phone (732) 263-7960
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012282 | NY | MD | Speech-Language Pathologist |
| 25MP00263500 | NJ | MD | Surgical Physician Assistant |
| P61126 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Parkway Hospital | Past | Accepting new patients | |
| Lifeco Medical, P.C. | Past | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Red Bank, NJ
- NPI 1942362587
-
- Emergency Medicine Physician
- Forest Hills, NY
- NPI 1922031905
-
- General Acute Care Hospital
- Forest Hills, NY
- NPI 1124060538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1073701819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CORLIES AVE STE 12",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536116",
"telephone_number": "732-263-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CORLIES AVE STE 12",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536116",
"telephone_number": "732-263-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADAKIA",
"first_name": "PARUL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "012282",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "P61126",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00263500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.