Individual provider Active NPI

Rohan S. Panchal, PA

  • Physician Assistant
  • Jersey City, NJ
National Provider Identifier
1679211627
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00694300 Issued in NJ
Practice address
377 Jersey Ave Ste 500
Jersey City, NJ 07302-4691
Phone
(201) 716-5850
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00694300 NJ Primary

Addresses

Primary practice location

377 Jersey Ave Ste 500
Jersey City, NJ 07302-4691

Mailing address

377 Jersey Ave Ste 500
Jersey City, NJ 07302-4691

Other practice location 1

200 S Orange Ave Ste 230
Livingston, NJ 07039-5817
Phone (201) 716-5850

Other practice location 2

100 Town Square Pl Ste 208
Jersey City, NJ 07310-2778
Phone (201) 716-5850

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323001822 NJ Practitioner - Physician Assistant 6709250269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

377 Jersey Ave
Suite 280a
Jersey City, NJ 07302-4393
Phone (201) 716-5850

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00694300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Dec 9, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 9, 2022 Accepting new patients

Locations

1 Clara Maass Dr
Ste 275
Belleville, NJ 07109

433 Hackensack Ave
Fl 2
Hackensack, NJ 07601
Phone (201) 343-1717

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

100 Town Square Pl
Ste 208
Jersey City, NJ 07310
Phone (201) 716-5850

377 Jersey Ave
Ste 550
Jersey City, NJ 07302
Phone (201) 716-5850

377 Jersey Ave
Ste 500
Jersey City, NJ 07302
Phone (201) 716-5850

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Ste 230
Livingston, NJ 07039
Phone (973) 322-7005

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

225 Millburn Ave
Ste 104B
Millburn, NJ 07041
Phone (973) 379-5888

225 Millburn Ave
Ste 104A
Millburn, NJ 07041
Phone (732) 532-3668

130 Kinderkamack Rd
Ste 300
River Edge, NJ 07661
Phone (201) 489-2727

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: rpanchal138309@epicdirect.rwjbh.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1679211627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 500",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 500",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024691",
            "telephone_number": "201-716-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Orange Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395817",
            "country_code": "US",
            "telephone_number": "201-716-5850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Town Square Pl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073102778",
            "country_code": "US",
            "telephone_number": "201-716-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "ROHAN",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00694300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.