Individual provider Active NPI

Dipakkumar Pravinchandra Pandya, M.D.

  • Neurology Physician
  • Annandale, NJ
National Provider Identifier
1265486294
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08079600 Issued in NJ
Practice address
1322 Route 31 N Ste 2
Annandale, NJ 08801-3127
Phone
(908) 894-7222
Fax
(908) 894-7128
NPI assigned
May 22, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 25MA08079600 NJ Primary

Addresses

Primary practice location

1322 Route 31 N Ste 2
Annandale, NJ 08801-3127

Mailing address

331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877

Other practice location 1

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7010

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
I20060711000404 NJ Practitioner - Neurology 3870506041 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
93.97
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08079600NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 15, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 15, 2025 Accepting new patients
Hunterdon Neurology, PA Neurology CurrentSince Nov 1, 2021 Accepting new patients
Hunterdon Medical Center CurrentSince Aug 28, 2014 Accepting new patients
Hunterdon Orthopedic Institute PA CurrentSince Jul 1, 2012 Accepting new patients
Preferred Therapeutics, LLC Neurology CurrentSince Jan 3, 2024 Accepting new patients
Hunterdon Medical Center CurrentSince Aug 28, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

1322 State Route 31 N
Ste 2
Annandale, NJ 08801
Phone (908) 894-7222

65 James St
Edison, NJ 08820
Phone (732) 321-7010

194 Route 31
Ste 102
Flemington, NJ 08822
Phone (908) 894-7222

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

8100 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 782-0600

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

Interoperability endpoints

  • Direct secure messaging: dpandya136874@epicdirect.rwjbh.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIHCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1265486294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS ROAD",
            "address_2": "BLDG. 2, SUITE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 31 N STE 2",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013127",
            "telephone_number": "908-894-7222",
            "fax_number": "908-894-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 James St",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203947",
            "country_code": "US",
            "telephone_number": "732-321-7010",
            "fax_number": "732-654-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "DIPAKKUMAR",
        "middle_name": "PRAVINCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08079600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

Verify at the official NPI Registry.