Individual provider Active NPI

Priyank Khandelwal, M.D.

  • Vascular Neurology Physician
  • Newark, NJ
National Provider Identifier
1225347727
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
25MA10382600 Issued in NJ
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

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0653543MedicaidNJ

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
I20180921002325 NJ Practitioner - Neurology 2668762881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

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

LicenseStateTypeSpecialty
25MA10382600NJMDVascular Neurology Physician
264560MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Aug 6, 2018 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Aug 6, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Oct 30, 2025 Accepting new patients
Capital Health Medical Group Neurology CurrentSince Feb 1, 2020 Accepting new patients
Summit Medical Group PA CurrentSince Oct 30, 2025 Accepting new patients
Capital Health Multispecialty Group Neurology CurrentSince Feb 1, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.