Active NPI
Shivendra Pandey, M.D.
- Nephrology Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA06669100
- Practice address
- 204 Jack Martin Blvd
Suite C3
Brick, NJ 08724-7770 - Phone
- (732) 840-0880
- Fax
- (732) 840-3499
- NPI assigned
- Apr 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA06669100 | NJ | Primary |
Addresses
Primary practice location
204 Jack Martin Blvd
Suite C3
Brick, NJ 08724-7770
Mailing address
19 Fulling Mill LN
Colts Neck, NJ 07722-1278
Phone (732) 840-0880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8177201 | Medicaid | NJ |
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
- Nephrology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19 Fulling Mill LN
Colts Neck, NJ 07722-1278
2640 Hwy 70
Suite 101
Manasquan, NJ 08736-2610
Phone (732) 223-0008
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200
Hospital & facility affiliations
- DaVita Ocean County Dialysis
- Ocean Medical Center
- Jersey Shore University Medical Center
- JFK University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.26 of 100
- Quality
- 57.79
- Improvement activities
- 0
- Cost
- 81.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shivendra Pandey MD PC | Nephrology | Current | Accepting new patients |
| Ea Health - New Jersey LLC | Current | Accepting new patients | |
| Sushil K Mehandru MD PA | Past | Accepting new patients |
Locations
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
2640 Highway 70
Ste 101B
Manasquan, NJ 08736
Phone (732) 223-0008
2640 Route 70
Ste 101
Manasquan, NJ 08736
Phone (732) 223-6555
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1063186641
-
- Nephrology Physician
- Manasquan, NJ
- NPI 1730413550
-
- Preferred Provider Organization
- Wall Township, NJ
- NPI 1316132467
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Toms River, NJ
- NPI 1083086029
Dialysis facility
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720044308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FULLING MILL LN",
"city": "COLTS NECK",
"state": "NJ",
"postal_code": "077221278",
"telephone_number": "732-840-0880",
"fax_number": "732-840-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 JACK MARTIN BLVD",
"address_2": "SUITE C3",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247770",
"telephone_number": "732-840-0880",
"fax_number": "732-840-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "SHIVENDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA06669100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8177201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.