Shivani Thakkar

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA10084700 Issued in NJ

Practice address

285 Davidson Ave
Ste 204
Somerset, NJ 08873

Phone

(732) 271-1400

Fax

(732) 271-3544

NPI assigned

Aug 2, 2012

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sthakkar53724@epicdirect.rwjbh.org

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.

• Olena Medical New Jersey LLC

  • Anesthesiology Physician
  • Fairview, NJ
  • NPI 1386180461
  Medicare reassignment NPD
• Omnj Division Three LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1780498196

  NJ

  Medicare reassignment NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Brick, NJ
  • NPI 1548433048
  NPD
• Banesthesia Consultants of New Jersey,L.L.C

  • Anesthesiologist Assistant
  • Somerset, NJ
  • NPI 1457663486
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1841546389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 W Wisconsin Ave",
            "address_2": "PEDIATRIC ANESTHESIOLOGY",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264874",
            "country_code": "US",
            "telephone_number": "414-266-2625",
            "fax_number": "414-266-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 DAVIDSON AVE",
            "address_2": "STE 204",
            "address_purpose": "LOCATION",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "country_code": "US",
            "telephone_number": "732-271-1400 x623",
            "fax_number": "732-271-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "SHIVANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "65600",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.061824",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10084700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ANESTHESIOLOGY OF NEW JERSEY, PC",
            "identifier": "1841546389",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841546389",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tender Hands Homecare Services LLC
• Teresa M Schaer, M.D., Facp, LLC
• Claire Louise Terez
• Jennifer Tesman, M.S. CCC-SLP
• Parth Thakar, DPT
• Marmik Pakesh Thakor
• The Arc of Somerset County
• The Art of Dentistry, L.L.C. (The Art of Dentistry and Spa)
• The Cardio-Thoracic Surgical Group, PA (Thoracic Group, PA)
• The Center for Great Expectations

• Anesthesiology Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.