Individual provider Active NPI

Jay Panchal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1306232798
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA10763600 Issued in NJ
Practice address
910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308
Phone
(201) 569-2770
Fax
(201) 569-1774
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA10763600 NJ Primary

Addresses

Primary practice location

910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308

Mailing address

910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308
Phone (201) 569-2770

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
I20200803002165 NJ Practitioner - Physical Medicine and Rehabilitation 5496088619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

910 Sylvan Ave
Suite 100
Englewood Cliffs, NJ 07632-3308
Phone (201) 569-2770

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC CurrentSince Jan 1, 2025 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2020 Accepting new patients
Englewood Healthcare Associates PC PastSince Sep 1, 2020 Accepting new patients

Locations

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

401 S Van Brunt St
Ste 3
Englewood, NJ 07631

910 Sylvan Ave
Fl 1
Englewood Cliffs, NJ 07632

910 Sylvan Ave
Ste 200
Englewood Cliffs, NJ 07632
Phone (551) 230-3004

910 Sylvan Ave
Ste 100
Englewood Cliffs, NJ 07632

22-02 Broadway
Ste 304
Fair Lawn, NJ 07410
Phone (551) 246-3193

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1 W Ridgewood Ave
Ste 303
Paramus, NJ 07652
Phone (201) 493-0123

Interoperability endpoints

  • FHIR API: https://epicproxy.et1073.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

Hospital & facility affiliations 6

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1306232798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SYLVAN AVE STE 100",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323308",
            "telephone_number": "201-569-2770",
            "fax_number": "201-569-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SYLVAN AVE STE 100",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323308",
            "telephone_number": "201-569-2770",
            "fax_number": "201-569-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA10763600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.