NPIMap

Individual provider Active NPI

Harshada P Thaker, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1528236486
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
249696 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(718) 283-3014
Fax
(718) 635-5722
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 249696 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

112 Beverly Hills Ter Apt a
Woodbridge, NJ 07095-4040
Phone (732) 750-4311

Other identifiers 1

IdentifierTypeStateIssuer
3032919MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000830 NJ Practitioner - Diagnostic Radiology 3971670837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Health Village Imaging LLCGroup PAC ID 9537263223, 27 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

27 S Cooks Bridge Rd
Suite 1 6
Jackson, NJ 08527-2460
Phone (732) 497-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
91.25
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Health Village Imaging, LLC CurrentSince Jan 1, 2018 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients

Locations

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

Interoperability endpoints

  • Direct secure messaging: harshada.thaker@direct.hackensackmeridian.org

Organizations & group practices 5

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 11

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1528236486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BEVERLY HILLS TER APT A",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070954040",
            "telephone_number": "732-750-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-3014",
            "fax_number": "718-635-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "HARSHADA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "249696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032919",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.