Individual provider Active NPI

Madhukar Pandya, MD

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1104804400
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA03978000 Issued in NJ
Practice address
20 Lincoln St
Madhukar Pandya MD
Jersey City, NJ 07307-2933
Phone
(201) 963-5009
Fax
(201) 659-5350
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA03978000 NJ Primary

Addresses

Primary practice location

20 Lincoln St
Madhukar Pandya MD
Jersey City, NJ 07307-2933

Mailing address

20 Lincoln St
Madhukar Pandya MD
Jersey City, NJ 07307-2933
Phone (201) 963-5009

Other identifiers 1

IdentifierTypeStateIssuer
1884409MedicaidNJ

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
I20050913000237 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7113950080 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Lincoln St
Jersey City, NJ 07307-2933
Phone (201) 963-5009

Hospital & facility affiliations

  • Heights University Hospital Hospital, Jersey City, NJ, CCN 310016
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
  • Optima Care Harborview Nursing home, Jersey City, NJ, CCN 315310
  • Acclaim Rehabilitation and Nursing Center Nursing home, Jersey City, NJ, CCN 315083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA03978000NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Jul 24, 2013 Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Alpha Scan Imaging, LLC Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

Interoperability endpoints

  • Direct secure messaging: madhukar.pandya@direct.christhospital.md

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1104804400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINCOLN ST",
            "address_2": "MADHUKAR PANDYA MD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072933",
            "telephone_number": "201-963-5009",
            "fax_number": "201-659-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LINCOLN ST",
            "address_2": "MADHUKAR PANDYA MD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072933",
            "telephone_number": "201-963-5009",
            "fax_number": "201-659-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MADHUKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA03978000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1884409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.