Organization Active NPI

Doshi Medical Center LLC

  • Infectious Disease Physician
  • Holmdel, NJ
National Provider Identifier
1760591390
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA07621800 Issued in NJ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Pankaj Ajay DoshiNPI 1821029745
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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0124907MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000454 NJ Part B Supplier - Clinic/Group Practice 0446254031 Receives reassigned benefits from 1 practitioner
Practice locations: Holmdel, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.