Individual provider Active NPI

Pariket Dubal, D.O.

  • Anesthesiology Physician
  • Newark, NJ
National Provider Identifier
1801258983
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB10797300 Issued in NJ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0741191MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200528001084 NJ Practitioner - Anesthesiology 2961761465 Reassigns benefits to 2 organizations
I20250310001564 NY Practitioner - Anesthesiology 2961761465 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MB10797300NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Bank Anesthesia, LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
University Physician Associates of New Jersey Inc Anesthesiology CurrentSince Jun 14, 2021 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jun 14, 2021 Accepting new patients
Star Suites LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Chris Demetriou MD PC PastSince Jan 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.