Active NPI
Rahul Dave Dhiman
- Gastroenterology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA12275800
- Practice address
- 3400 Spruce St
Philadelphia, PA 19104-4238 - Phone
- (215) 662-2200
- NPI assigned
- Apr 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA12275800 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | MT215817 | PA |
Addresses
Primary practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2200
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
- Gastroenterology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 S Cooks Bridge Rd
Suite 2 20
Jackson, NJ 08527-2463
Phone (732) 613-9144
525 Jack Martin Blvd
Suite 300
Brick, NJ 08724-7737
Phone (732) 840-0067
Hospital & facility affiliations
- Ocean Medical Center
- JFK University Medical Center
- Jersey Shore University Medical Center
- Southern Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 117 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 164 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT215817 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Allied Digestive Health, LLC | Gastroenterology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Internal Medicine | Past | Accepting new patients |
| Coastal Gastroenterology Associates, P.a. | Internal Medicine | Past | Accepting new patients |
| Atlantic Coast Gastroenterology Associates | Gastroenterology | Past | Accepting new patients |
Locations
525 Jack Martin Blvd
Ste 300
Brick, NJ 08724
Phone (732) 840-0067
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
27 S Cooks Bridge Rd
Ste 2-17
Jackson, NJ 08527
Phone (732) 721-7227
27 S Cooks Bridge Rd
Ste 2-20
Jackson, NJ 08527
Phone (732) 613-9144
1364 Route 72 W
Ste 1
Manahawkin, NJ 08050
Phone (732) 840-0067
1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
Interoperability endpoints
- rdhiman146187@direct.phhs.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
-
- Internal Medicine Physician
- Brick, NJ
- NPI 1336298629
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1780171066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHIMAN",
"first_name": "RAHUL",
"middle_name": "DAVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-22",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA12275800",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT215817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.