Active NPI
Priyank Khandelwal, M.D.
- Vascular Neurology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 25MA10382600
- Practice address
- 90 Bergen St # 8100
Newark, NJ 07103 - Phone
- (973) 972-2323
- Fax
- (973) 972-2333
- NPI assigned
- Sep 30, 2010
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA10382600 | NJ | |
| Neurology Physician | 2084N0400X | 25MA10382600 | NJ | |
| Vascular Neurology Physician | 2084V0102X | 25MA10382600 | NJ | Primary |
Addresses
Primary practice location
90 Bergen St # 8100
Newark, NJ 07103
Mailing address
30 Bergen St RM 1205
Newark, NJ 07107-3000
Phone (973) 972-0037
Other practice location 1
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (646) 823-2385
Other practice location 2
150 Park Ave
Florham Park, NJ 07932-1049
Phone (973) 404-9887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0653543 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
90 Bergen St
Suite 8100
Newark, NJ 07103-2425
Phone (862) 361-3840
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10382600 | NJ | MD | Vascular Neurology Physician |
| 264560 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Capital Health Medical Group | Neurology | Current | Accepting new patients |
| Summit Medical Group PA | Current | Accepting new patients | |
| Capital Health Multispecialty Group | Neurology | Current | Accepting new patients |
| Summit Medical Group, Inc | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| University Hospital | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
150 Park Ave
Florham Park, NJ 07932
Phone (973) 404-9980
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
90 Bergen St
#8100
Newark, NJ 07103
Phone (973) 972-2323
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
90 Bergen St
Ste 8100
Newark, NJ 07103
Phone (973) 972-0037
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Neurological Surgery Physician
- Newark, NJ
- NPI 1780694380
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1225347727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN ST RM 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000",
"telephone_number": "973-972-0037",
"fax_number": "973-972-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BERGEN ST # 8100",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07103",
"telephone_number": "973-972-2323",
"fax_number": "973-972-2333"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "646-823-2385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Park Ave",
"address_purpose": "LOCATION",
"city": "Florham Park",
"state": "NJ",
"postal_code": "079321049",
"country_code": "US",
"telephone_number": "973-404-9887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANDELWAL",
"first_name": "PRIYANK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA10382600",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA10382600",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NJ",
"license": "25MA10382600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0653543",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.