Individual provider Active NPI

Shivani Thakur, MD

  • Family Medicine Physician
  • Hampton, NJ
National Provider Identifier
1487913026
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10000700 Issued in NJ
Practice address
61 Frontage Rd
Hampton, NJ 08827-4001
Phone
(908) 735-2594
Fax
(908) 735-8526
NPI assigned
May 15, 2012
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10000700 NJ Primary

Addresses

Primary practice location

61 Frontage Rd
Hampton, NJ 08827-4001

Mailing address

61 Frontage Rd
Hampton, NJ 08827-4001
Phone (908) 735-2594

Other identifiers 1

IdentifierTypeStateIssuer
0572462MedicaidNJ

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
I20170815001088 NJ Practitioner - Family Practice 8729227426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

61 Frontage Rd
Hampton, NJ 08827-4001
Phone (908) 735-2594

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC Family Medicine CurrentSince Jun 19, 2017 Accepting new patients
Hunterdon Primary Care PC Family Medicine Current Accepting new patients
Hunterdon Primary Care, PC Family Medicine CurrentSince Jun 19, 2017 Accepting new patients
Hunterdon Primary Care PC Family Medicine Past Accepting new patients

Locations

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

61 Frontage Rd
Hampton, NJ 08827
Phone (908) 735-2594

Interoperability endpoints

  • Direct secure messaging: shivani.thakur.p20@direct.hunterdon.nextgenshare.com

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 2

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1487913026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FRONTAGE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274001",
            "telephone_number": "908-735-2594",
            "fax_number": "908-735-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 FRONTAGE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274001",
            "telephone_number": "908-735-2594",
            "fax_number": "908-735-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0572462",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NJ

Sources for this page

Verify at the official NPI Registry.