NPIMap

Individual provider Active NPI

Opal Thakar, MD

  • Family Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1659792802
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09804000 Issued in NJ
Practice address
552 Westwood Ave
Long Branch, NJ 07740-5239
Phone
(732) 222-7800
Fax
(732) 571-2075
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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 25MA09804000 NJ Primary

Addresses

Primary practice location

552 Westwood Ave
Long Branch, NJ 07740-5239

Mailing address

552 Westwood Ave
Long Branch, NJ 07740-5239
Phone (732) 222-7800

Other identifiers 1

IdentifierTypeStateIssuer
0534196MedicaidNJ

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
I20161103000318 NJ Practitioner - Family Practice 2466730999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

2 -12 Corbett Way
Suite 102
Eatontown, NJ 07724-4251
Phone (732) 263-7965

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Sep 27, 2016 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients
Anthony & Marianne Sahar MD,PA Family Medicine PastSince Jan 4, 2002 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

2-12 Corbett Way
Ste 102
Eatontown, NJ 07724
Phone (732) 222-4474

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

552 Westwood Ave
Long Branch, NJ 07740
Phone (732) 222-7800

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

280 Norwood Ave
West Long Branch, NJ 07764
Phone (732) 222-0031

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: opal.thakar@direct.hackensackmeridian.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1659792802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 WESTWOOD AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405239",
            "telephone_number": "732-222-7800",
            "fax_number": "732-571-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 WESTWOOD AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405239",
            "telephone_number": "732-222-7800",
            "fax_number": "732-571-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKAR",
        "first_name": "OPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09804000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534196",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.