Active NPI
Doshi Medical Center LLC
- Infectious Disease Physician
- Holmdel, NJ
National Provider Identifier
1760591390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 25MA07621800
- Legal business name
- DOSHI MEDICAL CENTER LLC
- Practice address
- 670 N Beers St
BLDG 2, Suite 4
Holmdel, NJ 07733-1526 - Phone
- (732) 588-0648
- Fax
- (732) 960-2378
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pankaj Ajay Doshi
- Title
- President/Owner
- Phone
- (732) 588-0648
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 25MA07621800 | NJ | Primary |
Addresses
Primary practice location
670 N Beers St
BLDG 2, Suite 4
Holmdel, NJ 07733-1526
Mailing address
PO Box 757
Holmdel, NJ 07733-0757
Phone (732) 588-0648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124907 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
668 N Beers St
Ste 103
Holmdel, NJ 07733
Phone (732) 217-3897
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Infectious Disease Physician
- Holmdel, NJ
- NPI 1821029745
-
- Adult Health Nurse Practitioner
- Toms River, NJ
- NPI 1245399153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1760591390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077330757",
"telephone_number": "732-588-0648",
"fax_number": "732-960-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 N BEERS ST",
"address_2": "BLDG 2, SUITE 4",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331526",
"telephone_number": "732-588-0648",
"fax_number": "732-960-2378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOSHI MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "DOSHI",
"authorized_official_first_name": "PANKAJ",
"authorized_official_middle_name": "AJAY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "732-588-0648"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA07621800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.