Individual provider Active NPI

Durgesh Mankikar, M.D.

  • Anesthesiology Physician
  • Watchung, NJ
National Provider Identifier
1831116284
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA04424 Issued in NJ
Practice address
40 Stirling Rd
Ste., 205
Watchung, NJ 07069-5900
Phone
(908) 769-1084
Fax
(908) 769-4139
NPI assigned
Jul 15, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA04424 NJ Primary

Addresses

Primary practice location

40 Stirling Rd
Ste., 205
Watchung, NJ 07069-5900

Mailing address

40 Stirling Rd
Ste., 205
Watchung, NJ 07069-5900
Phone (990) 876-9108

Other identifiers 1

IdentifierTypeStateIssuer
0314307MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04424NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Algology Associates, P.C. CurrentSince Apr 1, 2019 Accepting new patients
Gramercy Anesthesia Services, PC Anesthesiology PastSince Mar 7, 2011 Accepting new patients
Surgicare of Central Jersey, LLC Anesthesiology Past Accepting new patients
Montclair Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
Surgicare of Central Jersey, LLC Past Accepting new patients

Locations

905 Allwood Rd
Ste 200
Clifton, NJ 07012
Phone (973) 815-0003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAADD

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1831116284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "address_2": "STE., 205",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "990-876-9108",
            "fax_number": "908-769-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "address_2": "STE., 205",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-1084",
            "fax_number": "908-769-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIKAR",
        "first_name": "DURGESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA04424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.