Individual provider Active NPI

Jagdish G Thakur, M.D.

  • Specialist
  • Denville, NJ
National Provider Identifier
1083616353
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA04131700 Issued in NJ
Practice address
25 Pocono Rd
Denville, NJ 07834-2954
Phone
(973) 625-6000
NPI assigned
Jun 1, 2005
Last updated
Apr 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA04131700 NJ Primary
Specialist 174400000X 139167-1 NY

Addresses

Primary practice location

25 Pocono Rd
Denville, NJ 07834-2954

Mailing address

346 Valley Rd
Watchung, NJ 07069-6055
Phone (908) 625-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000847 NJ Practitioner - Anesthesiology 7719948520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

1 Plaza Dr
Unit 2
Toms River, NJ 08757-3762
Phone (732) 264-1127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04131700NJMDSpecialist
139167-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Healthcare Specialists PC CurrentSince Jul 1, 2021 Accepting new patients
Morris Anesthesia Group, PA Specialist CurrentSince Oct 6, 2020 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Dec 15, 2025 Accepting new patients
Dreamland Anesthesia Limited Liability Co Past Accepting new patients
TBHC Anesthesiology Services, PC Specialist Past Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Park Ave Pain Treatment Center PC Past Accepting new patients
Custom Anesthesia Services, P.C. Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

3700 State Route 33
Ste LL01
Neptune, NJ 07753

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

1 Plaza Dr
Unit 2
Toms River, NJ 08757
Phone (732) 691-4898

101 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-6256

Organizations & group practices 8

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1083616353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 VALLEY RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696055",
            "telephone_number": "908-625-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "JAGDISH",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04131700",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "139167-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.