Active NPI
Shivam Thakur, D.O.
- Pulmonary Disease Physician
- Ocean, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MB12511400
- Practice address
- 301 Bingham Ave Ste B
Ocean, NJ 07712-4764 - Phone
- (732) 757-1100
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS022845 | PA | |
| Hospitalist Physician | 208M00000X | OS022845 | PA | |
| Pulmonary Disease Physician | 207RP1001X | 25MB12511400 | NJ | Primary |
Addresses
Primary practice location
301 Bingham Ave Ste B
Ocean, NJ 07712-4764
Mailing address
301 Bingham Ave Ste B
Ocean, NJ 07712-4764
Other practice location 1
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-6421
Other practice location 2
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-6338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1608 Route 88
Suite 117
Brick, NJ 08724-3044
Phone (732) 775-9075
2640 Hwy 70
Suite 6a
Manasquan, NJ 08736-2610
Phone (732) 775-9075
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200
Hospital & facility affiliations
- Ocean Medical Center
- Jersey Shore University Medical Center
- Riverview Medical Center
- JFK University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB12511400 | NJ | MD | Pulmonary Disease Physician |
| OS022845 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Health - New Jersey LLC | Current | Accepting new patients | |
| Shore Pulmonary, PA | Pulmonary Disease | Current | Accepting new patients |
| Main Line Healthcare | Internal Medicine | Current | Accepting new patients |
Locations
1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900
301 Bingham Ave
Ste 1B
Ocean, NJ 07712
Phone (732) 775-9075
301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJHEDD
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351
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.
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1063186641
-
- Pulmonary Disease Physician
- Manasquan, NJ
- NPI 1053382499
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1194284075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BINGHAM AVE STE B",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BINGHAM AVE STE B",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077124764",
"telephone_number": "732-757-1100"
}
],
"practiceLocations": [
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963450",
"country_code": "US",
"telephone_number": "484-476-6421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4755 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-6338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKUR",
"first_name": "SHIVAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS022845",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS022845",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MB12511400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.