Individual provider Active NPI

Pejman Foroush, MD

  • Anesthesiology Physician
  • Holmdel, NJ
National Provider Identifier
1528233202
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA0292900 Issued in NJ
Practice address
727 N Beers St
Bayshore Community Hospital
Holmdel, NJ 07733-1514
Phone
(516) 297-9233
NPI assigned
Apr 24, 2008
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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 25MA0292900 NJ Primary

Addresses

Primary practice location

727 N Beers St
Bayshore Community Hospital
Holmdel, NJ 07733-1514

Mailing address

5 Chadwick Dr
Old Bridge, NJ 08857-2928
Phone (516) 297-9233

Other identifiers 2

IdentifierTypeStateIssuer
P00641799OtherNJRR MCR PTAN
0180777MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181018001845 FL Practitioner - Anesthesiology 9032282454 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Florida LLCGroup PAC ID 8921522376, 43 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 688-8200

12900 Cortez Blvd
Suite 103
Brooksville, FL 34613-6897
Phone (352) 596-1145

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA0292900NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Anesthesiology CurrentSince May 13, 2022 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Mar 4, 2022 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Northstar Anesthesia of Florida LLC Anesthesiology CurrentSince Mar 7, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients

Locations

12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

Organizations & group practices 7

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1528233202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHADWICK DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572928",
            "telephone_number": "516-297-9233",
            "fax_number": "732-234-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BEERS ST",
            "address_2": "BAYSHORE COMMUNITY HOSPITAL",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331514",
            "telephone_number": "516-297-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUSH",
        "first_name": "PEJMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA0292900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00641799",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180777",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.