Individual provider Active NPI

Komal Pandya, MD

  • Dermatology Physician
  • Bernardsville, NJ
National Provider Identifier
1942460993
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08306200 Issued in NJ
Practice address
40 Morristown Rd Ste 1a
Bernardsville, NJ 07924-2310
Phone
(908) 758-4373
Fax
(908) 484-9767
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08306200 NJ Primary

Addresses

Primary practice location

40 Morristown Rd Ste 1a
Bernardsville, NJ 07924-2310

Mailing address

PO Box 16
Blawenburg, NJ 08504-0016

Other practice location 1

1625 O St
Bedford, IN 47421-4116
Phone (812) 339-6434

Other practice location 2

1200 S Rogers St
Bloomington, IN 47403-4792
Phone (812) 339-6434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181025002909 NY Practitioner - Dermatology 2365592532 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Dermatology Dermatology CurrentSince Jan 28, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Sep 5, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 5, 2018 Accepting new patients

Locations

40 Morristown Rd
Ste 1A
Bernardsville, NJ 07924
Phone (908) 758-4373

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

309 W 23rd St
New York, NY 10011
Phone (212) 256-7016

150 E 42nd St
Fl 28
New York, NY 10017

Interoperability endpoints

  • Direct secure messaging: kpandya@dcsi.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1942460993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "BLAWENBURG",
            "state": "NJ",
            "postal_code": "085040016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MORRISTOWN RD STE 1A",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242310",
            "telephone_number": "908-758-4373",
            "fax_number": "908-484-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 O St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474214116",
            "country_code": "US",
            "telephone_number": "812-339-6434",
            "fax_number": "812-331-0196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Rogers St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034792",
            "country_code": "US",
            "telephone_number": "812-339-6434",
            "fax_number": "812-331-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "KOMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08306200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

Verify at the official NPI Registry.