NPIMap

Individual provider Active NPI

Prakash J Doshi, M.D.

  • Internal Medicine Physician
  • Kearny, NJ
National Provider Identifier
1790733491
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA53168 Issued in NJ
Practice address
206 Bergen Ave
Suite # 201
Kearny, NJ 07032-3324
Phone
(201) 998-7474
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA53168 NJ Primary

Addresses

Primary practice location

206 Bergen Ave
Suite # 201
Kearny, NJ 07032-3324

Mailing address

213 River Rd
East Hanover, NJ 07936-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060619000259 NJ Practitioner - General Practice 8729062369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Care Associates of West HudsonGroup PAC ID 9133131949, 4 clinicians

Practice addresses (Care Compare)

213 River Rd
East Hanover, NJ 07936-3706
Phone (973) 887-4403

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Promise Care NJ Home health agency, West New York, NJ, CCN 317064
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025
  • Alaris Health at Belgrove Nursing home, Kearny, NJ, CCN 315366
  • Alaris Health at Kearny Nursing home, Kearny, NJ, CCN 315192

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA53168NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Associates of West Hudson Internal Medicine CurrentSince May 1, 2006 Accepting new patients
Prakash Doshi, M.D., P.a. Internal Medicine PastSince Mar 1, 1998 Accepting new patients
Prime Healthcare Services - St Michaels LLC Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

450 Bergen St
Harrison, NJ 07029
Phone (973) 484-6900

512 Kearny Ave
Kearny, NJ 07032
Phone (201) 428-2424

512 Kearny Ave
Ste B
Kearny, NJ 07032
Phone (201) 998-7474

206 Bergen Ave
Ste 201
Kearny, NJ 07032
Phone (201) 948-5879

Interoperability endpoints

  • Direct secure messaging: pdoshi@direct.rwjbh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1790733491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RIVER RD",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE",
            "address_2": "SUITE # 201",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323324",
            "telephone_number": "201-998-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "PRAKASH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA53168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.