Active NPI
Raj Panchal, D.O.
- Physical Medicine & Rehabilitation Physician
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB10919900
- Practice address
- 1180 Raritan Rd
Clark, NJ 07066-1311 - Phone
- (732) 388-1508
- Fax
- (732) 388-3040
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB10919900 | NJ | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1180 Raritan Rd
Clark, NJ 07066-1311
Mailing address
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-5506
Other practice location 1
550 1st Ave
New York, NY 10010
Phone (212) 263-5506
Other practice location 2
905 Allwood Rd Ste 105
Clifton, NJ 07012-1946
Phone (973) 870-0777
Other practice location 3
225 May St Unit C
Edison, NJ 08837-3266
Phone (732) 661-0570
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Hospital & facility affiliations
- JFK University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Oak Medical Group, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| One Oak Medical Group, LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
905 Allwood Rd
Ste 105
Clifton, NJ 07012
Phone (973) 471-3680
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/
- https://fhir4.healow.com/fhir/r4/IHJHBD
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Orthopaedic Surgery Physician
- Wayne, NJ
- NPI 1669997359
Physical Medicine & Rehabilitation
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Orthopaedic Surgery of the Spine Physician
- Iselin, NJ
- NPI 1003429036
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1578097317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 RARITAN RD",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661311",
"telephone_number": "732-388-1508",
"fax_number": "732-388-3040"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10010",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "905 Allwood Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070121946",
"country_code": "US",
"telephone_number": "973-870-0777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 May St Unit C",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088373266",
"country_code": "US",
"telephone_number": "732-661-0570",
"fax_number": "732-661-0084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHAL",
"first_name": "RAJ",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB10919900",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.