Shivendra Pandey MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA66691 Issued in NJ

Legal business name

SHIVENDRA PANDEY MD PC

Practice address

2640 Highway 70
Suite 101B Building 12
Manasquan, NJ 08736-2609

Phone

(732) 223-0008

Fax

(732) 223-8020

NPI assigned

Sep 25, 2009

Last updated

Sep 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shivendra PandeyNPI 1720044308

Title

President

Phone

(732) 735-5455

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shivendra Pandey, M.D.

  • Nephrology Physician
  • Brick, NJ
  • NPI 1720044308
  Medicare reassignment NPD Authorized official
• Barbara Wyczesany, NP-C

  • Adult Health Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1639310725
  NPD
• Caroline Steward, RN, APN

  • Critical Care Medicine Clinical Nurse Specialist
  • Wall Township, NJ
  • NPI 1992028849
  NPD (past)

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1730413550",
    "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": "732-223-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70",
            "address_2": "SUITE 101B BUILDING 12",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-223-0008",
            "fax_number": "732-223-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVENDRA PANDEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "SHIVENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-735-5455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA66691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8177201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Sessa, PH.D
• Carly Sestrich, OTR/L
• Sydney Shakespeare, DPM
• Sharon I. Monter, DPM, LLC
• Mark Dennis Sheklian, DMD
• Shore Family Eyecare, PA
• Shore Health and Rehab Products Inc (Carlton Surgical Supply)
• Shore Point Counseling LLC
• Shore Psychology Associates, LLC
• Shore Pulmonary, PA

• Nephrology Physician in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.