Individual provider Active NPI

Pankaj M Doshi, MD

  • Pediatrics Physician
  • Toms River, NJ
National Provider Identifier
1366487746
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07893000 Issued in NJ
Practice address
99 Route 37 W
Toms River, NJ 08755-6423
Phone
(732) 557-8000
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07893000 NJ Primary

Addresses

Primary practice location

99 Route 37 W
Toms River, NJ 08755-6423

Mailing address

66 Waterford Ave
Morganville, NJ 07751-4246
Phone (732) 332-1978

Other identifiers 2

IdentifierTypeStateIssuer
095482B1FOtherNJMEDICARE BILLING NUMBER
0099333MedicaidNJ

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
I20051101000552 NJ Practitioner - Pediatric Medicine 2264459916 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Jewish Renaissance Foundation, Inc. CurrentSince Oct 16, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 27, 2017 Accepting new patients
The Jewish Renaissance Foundation, Inc. CurrentSince Oct 16, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Mar 27, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 18, 2004 Accepting new patients

Locations

1090 King Georges Post Rd
Ste 704
Edison, NJ 08837

1931 Oak Tree Rd
Lowr
Edison, NJ 08820
Phone (732) 482-9600

1931 Oak Tree Rd
Edison, NJ 08820
Phone (732) 482-9600

149 Kearny Ave
Perth Amboy, NJ 08861
Phone (732) 293-0135

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1366487746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WATERFORD AVE",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514246",
            "telephone_number": "732-332-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "PANKAJ",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07893000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NUMBER",
            "identifier": "095482B1F",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099333",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.