Active NPI
Pankaj M Doshi, MD
- Pediatrics Physician
- Toms River, NJ
National Provider Identifier
1366487746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07893000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095482B1F | Other | NJ | MEDICARE BILLING NUMBER |
| 0099333 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jewish Renaissance Foundation, Inc. | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| The Jewish Renaissance Foundation, Inc. | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Past | 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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New Lisbon, NJ
- NPI 1255375929
NJ
-
- Federally Qualified Health Center (FQHC)
- Edison, NJ
- NPI 1952770927
NJ
-
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
- Federally Qualified Health Center (FQHC)
- Edison, NJ
- NPI 1659132686
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Avenel, NJ
- NPI 1487680294
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.