Individual provider Active NPI

Pandurang R Miskin, MD

  • Neurology Physician
  • Toms River, NJ
National Provider Identifier
1154371250
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA04195700 Issued in NJ
Practice address
633 Rte 37 W
Toms River, NJ 08755-8007
Phone
(732) 240-4787
Fax
(732) 240-3114
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA04195700 NJ Primary

Addresses

Primary practice location

633 Rte 37 W
Toms River, NJ 08755-8007

Mailing address

633 Rte 37 W
Toms River, NJ 08755-8007
Phone (732) 240-4787

Other identifiers 2

IdentifierTypeStateIssuer
501334OtherNJAETNA
2020602MedicaidNJ

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
I20111006000281 NJ Practitioner - Neurology 6305734161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

633 Route 37 W
Toms River, NJ 08755-8007
Phone (732) 240-4787

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04195700NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Specialist CurrentSince Jan 25, 2023 Accepting new patients
Barnabas Health Medical Group, PC Specialist CurrentSince Nov 1, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 25, 2023 Accepting new patients
Shore Neurology, PA Current Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

633 Route 37 W
Toms River, NJ 08755
Phone (732) 240-4787

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: pmiskin126850@epicdirect.rwjbh.org

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 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1154371250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558007",
            "telephone_number": "732-240-4787",
            "fax_number": "732-240-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558007",
            "telephone_number": "732-240-4787",
            "fax_number": "732-240-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKIN",
        "first_name": "PANDURANG",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA04195700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "501334",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.