Active NPI
Prabhat R. Das, M.D., P.C.
- Pulmonary Disease Physician
- Lakewood, NJ
National Provider Identifier
1801915905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA06729400
- Legal business name
- PRABHAT R. DAS, M.D., P.C.
- Practice address
- 1166 River Ave
Lakewood, NJ 08701-5600 - Phone
- (732) 370-6653
- Fax
- (732) 736-6954
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prabhat R. Das, M.D.
- Title
- President
- Phone
- (732) 370-6653
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA06729400 | NJ | Primary |
Addresses
Primary practice location
1166 River Ave
Lakewood, NJ 08701-5600
Mailing address
1166 River Ave
Lakewood, NJ 08701-5600
Phone (732) 370-6653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101123000687 | NJ | Part B Supplier - Clinic/Group Practice | 3375739873 |
Receives reassigned benefits from 1 practitioner Practice locations: Toms River, NJ |
National Provider Directory
National Provider DirectoryLocations
495 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 240-2299
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1922037472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801915905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015600",
"telephone_number": "732-370-6653",
"fax_number": "732-736-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015600",
"telephone_number": "732-370-6653",
"fax_number": "732-736-6954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRABHAT R. DAS, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAS",
"authorized_official_first_name": "PRABHAT",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-370-6653",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA06729400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.