Active NPI
Shachee Paresh Pandya, M.D
- Neonatal-Perinatal Medicine Physician
- Piscataway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA10922900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016017159 | MO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | 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
- 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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New Brunswick, NJ
- NPI 1346322732
-
- Pediatric Critical Care Medicine Physician
- New Brunswick, NJ
- NPI 1164510400
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.