Individual provider Active NPI

Krishna Kant Pandey, M.D.

  • Pediatrics Physician
  • Totowa, NJ
National Provider Identifier
1124135314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06359500 Issued in NJ
Practice address
142 Totowa Rd
Suite # 8
Totowa, NJ 07512-2745
Phone
(973) 904-1000
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06359500 NJ Primary

Addresses

Primary practice location

142 Totowa Rd
Suite # 8
Totowa, NJ 07512-2745

Mailing address

142 Totowa Rd
Suite # 8
Totowa, NJ 07512-2745
Phone (973) 904-1000

Other identifiers 1

IdentifierTypeStateIssuer
7137001MedicaidNJ

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
I20130924000855 NJ Practitioner - Pediatric Medicine 3476797895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06359500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House Physician Partners, PC CurrentSince Jun 1, 2013 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
DP Pediatrics LLC Past Accepting new patients

Locations

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHAAA/Endpoint/FIHAAA
  • FHIR API: https://api.platform.athenahealth.com/7355/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124135314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD",
            "address_2": "SUITE # 8",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122745",
            "telephone_number": "973-904-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 TOTOWA RD",
            "address_2": "SUITE # 8",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122745",
            "telephone_number": "973-904-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "KRISHNA",
        "middle_name": "KANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06359500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7137001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.