Active NPI
Pariket Dubal, D.O.
- Anesthesiology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MB10797300
- Practice address
- 185 S Orange Ave # Msbe-538
Newark, NJ 07103-2757 - Phone
- (973) 972-5007
- Fax
- (973) 972-0582
- NPI assigned
- Mar 28, 2016
- Last updated
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 25MB10797300 | NJ | Primary |
Addresses
Primary practice location
185 S Orange Ave # Msbe-538
Newark, NJ 07103-2757
Mailing address
30 Bergen St # 1205
Newark, NJ 07107-3000
Phone (973) 972-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0741191 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-1271
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10797300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Bank Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Anesthesiology | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Star Suites LLC | Anesthesiology | Current | Accepting new patients |
| Chris Demetriou MD PC | Past | Accepting new patients |
Locations
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056
30 Bergen St
Bldg 12
Newark, NJ 07107
Phone (973) 972-0037
30 Bergen St
#1205
Newark, NJ 07107
Phone (201) 967-4156
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University Anesthesia Associates
- Anesthesiology Physician
- Newark, NJ
- NPI 1225048820
-
- Anesthesiology Physician
- Red Bank, NJ
- NPI 1871764530
-
dba Star Surgical Suites LLC
- Ambulatory Surgical Clinic/Center
- Garden City, NY
- NPI 1023588266
Anesthesiology
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Gastroenterology Physician
- Garden City, NY
- NPI 1386954279
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1801258983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN ST # 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000",
"telephone_number": "973-972-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 S ORANGE AVE # MSBE-538",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032757",
"telephone_number": "973-972-5007",
"fax_number": "973-972-0582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAL",
"first_name": "PARIKET",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB10797300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0741191",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
- DRW Healthcare Services & Mental Health Wellness, LLC
- DRW Healthcare Services & Mental Health Wellness, LLC (DRW Healthcare Services & Mental Health Wellness)
- Duane Reade
- Jessica Kristina Duardo, DNP, WHNP-BC, CNM
- Janaina Mara Duarte
- Allen James Ducusin, MD
- Shay Elia Dudaie, MD
- Larissa Sophia Dudley, M.D.
- Alexandra Grace Duffin
- Emily Katherine Duffus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.