Individual provider Active NPI

Sonal Pathak, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • North Bergen, NJ
National Provider Identifier
1801020524
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA09178500 Issued in NJ
Practice address
6045 Kennedy Blvd
Suite B
North Bergen, NJ 07047-3246
Phone
(201) 453-0322
Fax
(201) 453-0325
NPI assigned
May 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C1-0009164 DE
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA09178500 NJ Primary

Addresses

Primary practice location

6045 Kennedy Blvd
Suite B
North Bergen, NJ 07047-3246

Mailing address

6045 Kennedy Blvd
Suite B
North Bergen, NJ 07047-3246
Phone (201) 453-0322

Other identifiers 3

IdentifierTypeStateIssuer
25MA09178500OtherNJLICENSE
329461MedicaidNJ
051725OtherNJMEDICARE GROUP PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000443 NJ Practitioner - Endocrinology 5092855627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

6045 Kennedy Blvd
North Bergen, NJ 07047-3246
Phone (201) 861-4443

Hospital & facility affiliations

  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0009164DEMDEndocrinology, Diabetes & Metabolism Physician
25MA09178500NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 1, 2019 Accepting new patients
Palisades Medical Associates LLC CurrentSince Oct 15, 2012 Accepting new patients
Bayhealth Medical Center, Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients
Bayhealth Hospitalist, LLC Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

6045 Kennedy Blvd
Ste B
North Bergen, NJ 07047
Phone (201) 453-0322

6045 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 861-4443

1 Marine Plz
Ste 206
North Bergen, NJ 07047
Phone (201) 710-2772

Interoperability endpoints

  • Direct secure messaging: sonal.pathak@direct.hackensackmeridian.org
  • FHIR API: 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.

Hospital & facility affiliations 5

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1801020524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 KENNEDY BLVD",
            "address_2": "SUITE B",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473246",
            "telephone_number": "201-453-0322",
            "fax_number": "201-453-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 KENNEDY BLVD",
            "address_2": "SUITE B",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473246",
            "telephone_number": "201-453-0322",
            "fax_number": "201-453-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SONAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-09",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0009164",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA09178500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA09178500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329461",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "051725",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.