Individual provider Active NPI

Jayeshkumar Thaker, M.D.

  • Anesthesiology Physician
  • Bayonne, NJ
National Provider Identifier
1417951815
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06994000 Issued in NJ
Practice address
29 E 29TH St
Bayonne, NJ 07002-4654
Phone
(201) 858-5000
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06994000 NJ Primary

Addresses

Primary practice location

29 E 29TH St
Bayonne, NJ 07002-4654

Mailing address

PO Box 464
Rutherford, NJ 07070-0464
Phone (201) 804-2800

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
I20090625000077 NJ Practitioner - Anesthesiology 9537210943 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Institute PAGroup PAC ID 0042265969, 5 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
Rutgers Health RWJ Anesthesiology G
New Brunswick, NJ 08901-1928
Phone (732) 937-8841

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 703-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06994000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
New Jersey Anesthesia Services LLC Anesthesiology CurrentSince Aug 19, 2022 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jul 8, 2022 Accepting new patients
Pain Management Institute PA Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Dr Anesthesia LLC Anesthesiology CurrentSince Dec 17, 2013 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
TBHC Anesthesiology Services, PC Specialist Past Accepting new patients

Locations

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

125 Paterson St
#5100
New Brunswick, NJ 08901
Phone (732) 235-6512

10 Plum St
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137

125 Paterson St
Ste 5123
New Brunswick, NJ 08901
Phone (732) 235-7246

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

473 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 349-4422

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

741 Northfield Ave
West Orange, NJ 07052
Phone (973) 243-9729

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1417951815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070700464",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "JAYESHKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-03-24",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06994000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.