Organization Active NPI

Pratik Inc

  • Internal Medicine Physician
  • Wharton, NJ
National Provider Identifier
1184787103
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA-64185 Issued in NJ
Legal business name
PRATIK INC
Practice address
400 S Main St
Suite 2R
Wharton, NJ 07885-2043
Phone
(973) 366-1223
NPI assigned
Dec 19, 2006
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Pinakin J Pathak, MDNPI 1679540819
Title
Owner
Phone
(973) 366-1223

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
Internal Medicine Physician 207R00000X MA-64185 NJ Primary

Addresses

Primary practice location

400 S Main St
Suite 2R
Wharton, NJ 07885-2043

Mailing address

400 S Main St
Suite 2R
Wharton, NJ 07885-2043
Phone (973) 366-1223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081213000185 NJ Part B Supplier - Clinic/Group Practice 2365503059 Receives reassigned benefits from 1 practitioner
Practice locations: Wharton, NJ

National Provider Directory

National Provider Directory

Locations

400 S Main St
Ste 2R
Wharton, NJ 07885
Phone (973) 328-1417

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1184787103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 2R",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852043",
            "telephone_number": "973-366-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 2R",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852043",
            "telephone_number": "973-366-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "PINAKIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-366-1223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA-64185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.