NPIMap

Individual provider Active NPI

Savan Ghetiya, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1124409057
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10284300 Issued in NJ
Practice address
1749 Hooper Ave Ste 203
Toms River, NJ 08753-8130
Phone
(732) 864-7030
Fax
(732) 864-7032
NPI assigned
Jun 16, 2015
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10284300 NJ Primary

Addresses

Primary practice location

1749 Hooper Ave Ste 203
Toms River, NJ 08753-8130

Mailing address

1749 Hooper Ave Ste 203
Toms River, NJ 08753-8130
Phone (732) 864-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710001079 NJ Practitioner - Internal Medicine 6305192105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Primary Care LLCGroup PAC ID 3678829470, 2 clinicians

Practice addresses (Care Compare)

1749 Hooper Ave
Suite 203
Toms River, NJ 08753-8130
Phone (732) 864-7030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Primary Care LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Community Medical Center Inc Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1749 Hooper Ave
Ste 203
Toms River, NJ 08753
Phone (732) 864-7030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1124409057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE STE 203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-864-7030",
            "fax_number": "732-864-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE STE 203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-864-7030",
            "fax_number": "732-864-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHETIYA",
        "first_name": "SAVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10284300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.