Individual provider Active NPI

Pratik Panchal, M.D.

  • Cardiovascular Disease Physician
  • Eatontown, NJ
National Provider Identifier
1851681068
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09727600 Issued in NJ
Practice address
274 Highway 35
Eatontown, NJ 07724-2105
Phone
(732) 440-7336
NPI assigned
Apr 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09727600 NJ
Cardiovascular Disease Physician 207RC0000X 261680 NY
Interventional Cardiology Physician 207RI0011X 25MA09727600 NJ
Cardiovascular Disease Physician 207RC0000X 25MA09727600 NJ Primary

Addresses

Primary practice location

274 Highway 35
Eatontown, NJ 07724-2105

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161

Other practice location 1

56-45 Main Street
NY Hospital Queens Department of Cardiology
Flushing, NY 11355
Phone (718) 670-1286

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150803000769 NJ Practitioner - Cardiovascular Disease (Cardiology) 9436463585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

300 2ND Ave
Long Branch, NJ 07740-6303

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09727600NJMDCardiovascular Disease Physician
261680NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Mar 7, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 7, 2022 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince May 31, 2022 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients

Locations

274 Highway 35
Eatontown, NJ 07724
Phone (732) 440-7336

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

413 Lakehurst Rd
Ste 200
Toms River, NJ 08755
Phone (732) 557-4777

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: ppanchal100565@epicdirect.rwjbh.org
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1851681068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 HIGHWAY 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242105",
            "telephone_number": "732-440-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56-45 Main Street",
            "address_2": "NY Hospital Queens Department of Cardiology",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11355",
            "country_code": "US",
            "telephone_number": "718-670-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "PRATIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09727600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "261680",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA09727600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09727600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.