Individual provider Active NPI

David Matthew Bandola, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wayne, NJ
National Provider Identifier
1487827408
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08735700 Issued in NJ
Practice address
601 Hamburg Tpke Ste 204
Wayne, NJ 07470-2049
Phone
(862) 248-0668
Fax
(973) 755-0191
NPI assigned
Apr 10, 2008
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08735700 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08735700 NJ Primary

Addresses

Primary practice location

601 Hamburg Tpke Ste 204
Wayne, NJ 07470-2049

Mailing address

601 Hamburg Tpke
Suite 204
Wayne, NJ 07470-2048
Phone (862) 248-0668

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
I20140813001703 NJ Practitioner - Pain ManagementPractitioner - Interventional Pain Management 3173693314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Perelman School of Med at the University of Pennsylvania, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians

Practice addresses (Care Compare)

601 Hamburg Tpke
Suite 204
Wayne, NJ 07470-2049
Phone (862) 248-0668

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Valley Physician Services PC Past Accepting new patients
Trustees of Columbia University in the City of New York Anesthesiology Past Accepting new patients

Locations

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

601 Hamburg Tpke
Ste 204
Wayne, NJ 07470
Phone (862) 248-0668

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

Organizations & group practices 4

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 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1487827408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE",
            "address_2": "SUITE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702048",
            "telephone_number": "862-248-0668",
            "fax_number": "862-248-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMBURG TPKE STE 204",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702049",
            "telephone_number": "862-248-0668",
            "fax_number": "973-755-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOLA",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08735700",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08735700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.