Individual provider Active NPI

Neil Abraham Ninan, M.D.

  • Pulmonary Disease Physician
  • Toms River, NJ
National Provider Identifier
1689970790
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA12372600 Issued in NJ
Practice address
67 Rte 37 W FL 3
Toms River, NJ 08755-6400
Phone
(732) 557-8000
Fax
(732) 818-3820
NPI assigned
Feb 7, 2011
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2011-00266 NC
Pulmonary Disease Physician 207RP1001X 25MA12372600 NJ Primary

Addresses

Primary practice location

67 Rte 37 W FL 3
Toms River, NJ 08755-6400

Mailing address

67 Rte 37 W FL 3
Toms River, NJ 08755-6400
Phone (732) 818-3811

Other practice location 1

200 Wyckoff Rd Ste 1400
Eatontown, NJ 07724-1928
Phone (732) 818-3820

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
I20241016000334 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6507035946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2004
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)

200 Wyckoff Rd
Suite 1400
Eatontown, NJ 07724-1927
Phone (615) 972-9119

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 1, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 1, 2024 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

200 Wyckoff Rd
Ste 1400
Eatontown, NJ 07724
Phone (732) 818-3811

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

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

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

67 Route 37 W
Fl 3
Toms River, NJ 08755
Phone (732) 557-3541

Organizations & group practices 3

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 1

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1689970790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 RTE 37 W FL 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556400",
            "telephone_number": "732-818-3811",
            "fax_number": "732-818-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 RTE 37 W FL 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556400",
            "telephone_number": "732-557-8000",
            "fax_number": "732-818-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Wyckoff Rd Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241928",
            "country_code": "US",
            "telephone_number": "732-818-3820",
            "fax_number": "732-818-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINAN",
        "first_name": "NEIL",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2011-00266",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA12372600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.