Individual provider Active NPI

Pejman Taghavi, MD

  • Diagnostic Radiology Physician
  • Manahawkin, NJ
National Provider Identifier
1902282304
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11563000 Issued in NJ
Practice address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone
(609) 597-6011
NPI assigned
Aug 7, 2015
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11563000 NJ Primary

Addresses

Primary practice location

1140 Route 72 W
Manahawkin, NJ 08050-2412

Mailing address

1901 W Harrison St
RM 2533
Chicago, IL 60612-3714
Phone (312) 864-3825

Other identifiers 1

IdentifierTypeStateIssuer
ME150891OtherFLFL DOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200617002695 CA Practitioner - Diagnostic Radiology 1658664982 Reassigns benefits to 4 organizations
I20220808003143 NJ Practitioner - Diagnostic Radiology 1658664982 Reassigns benefits to 3 organizations
I20221103003135 FL Practitioner - Diagnostic Radiology 1658664982 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

2230 SW 19TH Ave Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

2532 Estero Blvd Apt
404 Kirk G Banerian MD
Fort Myers Beach, FL 33931-3347
Phone (480) 306-6949

3315 Commercial Way
Spring Hill, FL 34606-2699
Phone (325) 688-5860

701 Huntley Dr
West Hollywood, CA 90069-5008
Phone (609) 597-6011

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
Quality
82.62
Promoting interoperability
77
Improvement activities
40
Cost
79.06

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Ohri, LLC CurrentSince Oct 1, 2022 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Health Village Imaging, LLC CurrentSince Jul 1, 2022 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 28, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 28, 2020 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Dr. Pejman Taghavi MD Inc Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 13, 2025 Accepting new patients
Amin Radiology Inc CurrentSince Mar 1, 2024 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Jul 21, 2022 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology Current Accepting new patients
Ocala Family Medical Center, Inc. Diagnostic Radiology CurrentSince Sep 8, 2023 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 26, 2022 Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

922 N Citrus Ave
Crystal River, FL 34428
Phone (352) 795-9200

7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1301 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0483

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ptaghavi789607@direct.uclahealth.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 10

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1902282304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "address_2": "RM 2533",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-597-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHAVI",
        "first_name": "PEJMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11563000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DOH",
            "identifier": "ME150891",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.