Individual provider Active NPI

Prajakta V Avhad, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Somerset, NJ
National Provider Identifier
1861709156
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09001500 Issued in NJ
Practice address
51 Veronica Ave
Somerset, NJ 08873-3448
Phone
(732) 846-7000
Fax
(732) 846-7001
NPI assigned
Sep 8, 2010
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 257357 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X MD472148 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X 095776 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09001500 NJ Primary

Addresses

Primary practice location

51 Veronica Ave
Somerset, NJ 08873-3448

Mailing address

51 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 476-8970

Other practice location 1

283 Applegarth Rd
Monroe Township, NJ 08831-3737
Phone (732) 846-7000

Other practice location 2

1925 State Route 27
Edison, NJ 08817-3250
Phone (732) 846-7000

Other identifiers 1

IdentifierTypeStateIssuer
0311791MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20120224000574 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 3577721364 Reassigns benefits to 3 organizations
I20210327000024 PA Practitioner - Pain Management 3577721364

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avenel Iselin Medical Group, LLCGroup PAC ID 5597751941, 18 clinicians

Practice addresses (Care Compare)

400 Gill Lane
Iselin, NJ 08830-3059

400 Gill LN
Iselin, NJ 08830-3059
Phone (732) 404-1580

51 Veronica Ave
Somerset, NJ 08873-3448
Phone (732) 846-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257357NYMDPain Medicine (Anesthesiology) Physician
095776OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Spine and Pain Center Inc CurrentSince Mar 18, 2024 Accepting new patients
Avenel Iselin Medical Group, LLC CurrentSince Dec 26, 2024 Accepting new patients
Central Jersey Anesthesia and Pain Management PA Pain Medicine Current Accepting new patients
NJ - S Bogdan MD PC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Garden State Cardiology LLC CurrentSince Mar 1, 2023 Accepting new patients
Heart & Vascular Center of New Brunswick LLC CurrentSince Aug 3, 2021 Accepting new patients
Heart & Vascular Center of New Brunswick LLC CurrentSince Aug 3, 2021 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

1925 State Route 27
Edison, NJ 08817
Phone (732) 985-8937

2111 Klockner Rd
Hamilton Square, NJ 08690
Phone (609) 587-4777

400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

2 Research Way
Ste 206
Monroe, NJ 08831
Phone (609) 395-8181

283 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 655-1046

312 Applegarth Rd
Ste 110
Monroe Twp, NJ 08831
Phone (609) 662-5212

2090 State Route 27
Ste 103
North Brunswick, NJ 08902
Phone (609) 688-6866

200 Perrine Rd
Ste 224
Old Bridge, NJ 08857
Phone (732) 553-1214

1543 State Route 27
Ste 14
Somerset, NJ 08873

51 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-1311

Interoperability endpoints

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

Organizations & group practices 8

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 3

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1861709156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-476-8970",
            "fax_number": "732-846-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "732-846-7000",
            "fax_number": "732-846-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Applegarth Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe Township",
            "state": "NJ",
            "postal_code": "088313737",
            "country_code": "US",
            "telephone_number": "732-846-7000",
            "fax_number": "732-846-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 State Route 27",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088173250",
            "country_code": "US",
            "telephone_number": "732-846-7000",
            "fax_number": "732-846-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVHAD",
        "first_name": "PRAJAKTA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "257357",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD472148",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "095776",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09001500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311791",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.