Organization Active NPI

Jersey Pulmonary Care, MD PA

  • Pulmonary Disease Physician
  • Toms River, NJ
National Provider Identifier
1083755383
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA065571 Issued in NJ
Legal business name
JERSEY PULMONARY CARE, MD PA
Practice address
9 Hospital Dr Ste A18
Toms River, NJ 08755-6425
Phone
(732) 557-5515
Fax
(732) 557-5516
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Jayesh K Parikh, M.D. FCCPNPI 1932142981
Title
Sole Proprieter
Phone
(732) 557-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X MA065571 NJ Primary

Addresses

Primary practice location

9 Hospital Dr Ste A18
Toms River, NJ 08755-6425

Mailing address

9 Hospital Dr Ste A18
Toms River, NJ 08755-6425
Phone (732) 557-5515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090923000699 NJ Part B Supplier - Clinic/Group Practice 6103972716 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

9 Hospital Dr
Ste A18
Toms River, NJ 08755
Phone (732) 557-5515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1083755383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE A18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-557-5515",
            "fax_number": "732-557-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE A18",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-557-5515",
            "fax_number": "732-557-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY PULMONARY CARE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "732-557-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. FCCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA065571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.