Individual provider Active NPI

Shilin R Pandya, DO

  • Psychiatry Physician
  • Warren, NJ
National Provider Identifier
1952727323
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB09479300 Issued in NJ
Practice address
27 Mountain Blvd Ste 3
Warren, NJ 07059-5605
Phone
(732) 907-7362
Fax
(343) 503-0648
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MB09479300 NJ Primary

Addresses

Primary practice location

27 Mountain Blvd Ste 3
Warren, NJ 07059-5605

Mailing address

27 Mountain Blvd Ste 3
Warren, NJ 07059-5605
Phone (732) 907-7362

Other names 1

  • Dr. Shilin R Rasaniya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09479300NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Psychiatry Services PC Psychiatry Current Accepting new patients

Organizations & group practices 1

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1952727323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD STE 3",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "732-907-7362",
            "fax_number": "343-503-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD STE 3",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "732-907-7362",
            "fax_number": "343-503-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SHILIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB09479300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHILIN",
            "last_name": "RASANIYA",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.