Individual provider Active NPI

Shachee Paresh Pandya, M.D

  • Neonatal-Perinatal Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1073824140
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
25MA10922900 Issued in NJ
Practice address
81 Carriage Dr
Piscataway, NJ 08854-5981
Phone
(630) 415-7829
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10922900 NJ
Neonatal-Perinatal Medicine Physician 2080N0001X 2016017159 MO
Neonatal-Perinatal Medicine Physician 2080N0001X R8960 TX
Neonatal-Perinatal Medicine Physician 2080N0001X 25MA10922900 NJ Primary

Addresses

Primary practice location

81 Carriage Dr
Piscataway, NJ 08854-5981

Mailing address

81 Carriage Dr
Piscataway, NJ 08854-5981
Phone (630) 415-7829

Other practice location 1

7510 W 116th Ter
Overland Park, KS 66210-2260
Phone (630) 415-7829

Other practice location 2

5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229
Phone (210) 541-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210608000454 NY Practitioner - Pediatric Medicine 6305133265 Reassigns benefits to 1 organization
I20240312003072 NJ Practitioner - Pediatric Medicine 6305133265 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016017159MOMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 5, 2024 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 5, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 5, 2021 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients

Locations

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: spandya66863@northwell.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1073824140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CARRIAGE DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545981",
            "telephone_number": "630-415-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CARRIAGE DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545981",
            "telephone_number": "630-415-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 W 116th Ter",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102260",
            "country_code": "US",
            "telephone_number": "630-415-7829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5430 Fredericksburg Rd Ste 508",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-541-8281",
            "fax_number": "210-541-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SHACHEE",
        "middle_name": "PARESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10922900",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "2016017159",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "R8960",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA10922900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.