Individual provider Active NPI

Pankaj Kumar Bhandari, M.D.

  • Psychiatry Physician
  • Short Hills, NJ
National Provider Identifier
1508920836
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08137700 Issued in NJ
Practice address
51 JFK Parkway
1St Floor West
Short Hills, NJ 07078-2713
Phone
(917) 582-6622
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA08137700 NJ Primary

Addresses

Primary practice location

51 JFK Parkway
1St Floor West
Short Hills, NJ 07078-2713

Mailing address

51 JFK Parkway
1St Floor West
Short Hills, NJ 07078-2713
Phone (917) 582-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090625000010 NJ Practitioner - Psychiatry 6709937105 Reassigns benefits to 1 organization
I20241022003022 NY Practitioner - Psychiatry 6709937105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Nynj PLLCGroup PAC ID 8022540814, 11 clinicians
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (917) 582-6622

51 JFK Pkwy
Short Hills, NJ 07078-2704
Phone (917) 582-6622

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
74.82
Improvement activities
40
Cost
71.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nynj Psychiatric Associates LLC Psychiatry CurrentSince Jan 26, 2011 Accepting new patients
Psychiatric Nynj PLLC Psychiatry CurrentSince Aug 1, 2024 Accepting new patients

Locations

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

Organizations & group practices 2

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 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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1508920836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JFK PARKWAY",
            "address_2": "1ST FLOOR WEST",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "917-582-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JFK PARKWAY",
            "address_2": "1ST FLOOR WEST",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "917-582-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARI",
        "first_name": "PANKAJ",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08137700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

Verify at the official NPI Registry.