Active NPI
Jagdish G Thakur, M.D.
- Specialist
- Denville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA04131700
- Practice address
- 25 Pocono Rd
Denville, NJ 07834-2954 - Phone
- (973) 625-6000
- NPI assigned
- Jun 1, 2005
- Last updated
- Apr 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04131700 | NJ | MD | Specialist |
| 139167-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Morris Anesthesia Group, PA | Specialist | Current | Accepting new patients |
| Shrewsbury Ambulatory Anesthesia LLC | Current | 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.
-
- Anesthesiology Physician
- Shrewsbury, NJ
- NPI 1356691885
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Internal Medicine Physician
- Watchung, NJ
- NPI 1003053067
-
- Ambulatory Surgical Clinic/Center
- Neptune, NJ
- NPI 1316219470
-
- Pain Medicine (Anesthesiology) Physician
- South Plainfield, NJ
- NPI 1528075652
-
- Anesthesiology Physician
- Great Neck, NY
- NPI 1861567752
-
- Specialist
- Brooklyn, NY
- NPI 1073546073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.