Individual provider Active NPI

Pinakin Pathak, M.D.

  • Internal Medicine Physician
  • Wharton, NJ
National Provider Identifier
1679540819
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06418500 Issued in NJ
Practice address
400 S Main St
Suite 2R
Wharton, NJ 07885-2043
Phone
(973) 366-1223
NPI assigned
Mar 7, 2006
Last updated
Jan 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06418500 NJ Primary

Addresses

Primary practice location

400 S Main St
Suite 2R
Wharton, NJ 07885-2043

Mailing address

400 S Main St
Suite 2R
Wharton, NJ 07885-2043
Phone (973) 366-1223

Other identifiers 1

IdentifierTypeStateIssuer
7050305MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000023 NJ Practitioner - Internal Medicine 5698719979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

400 S Main St
Suite 2
Wharton, NJ 07885-2043
Phone (973) 366-1223

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2026 Accepting new patients
Pratik Inc Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

400 S Main St
Ste 2
Wharton, NJ 07885
Phone (973) 366-1223

400 S Main St
Ste 2L
Wharton, NJ 07885

400 S Main St
Ste 2R
Wharton, NJ 07885
Phone (973) 328-1417

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGCECA/Endpoint/EGCECA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1679540819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 2R",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852043",
            "telephone_number": "973-366-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE 2R",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078852043",
            "telephone_number": "973-366-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "PINAKIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06418500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7050305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, NJ

Sources for this page

Verify at the official NPI Registry.