Active NPI
Ali Daneshvar, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Northfield, NJ
National Provider Identifier
1962457366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA05615600
- Practice address
- 334 W Oakcrest Ave
Northfield, NJ 08225-1716 - Phone
- (609) 646-7000
- Fax
- (609) 646-7140
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25MA05615600 | NJ | Primary |
Addresses
Primary practice location
334 W Oakcrest Ave
Northfield, NJ 08225-1716
Mailing address
234 Cambridge Ave
Linwood, NJ 08221-2317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4609603 | Medicaid | NJ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05615600 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pathology Laboratory LLC | Past | Accepting new patients | |
| Atlantic Pathologists PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Northfield, NJ
- NPI 1275588576
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantic City, NJ
- NPI 1053310615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962457366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 CAMBRIDGE AVE",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082212317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 W OAKCREST AVE",
"city": "NORTHFIELD",
"state": "NJ",
"postal_code": "082251716",
"telephone_number": "609-646-7000",
"fax_number": "609-646-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESHVAR",
"first_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "25MA05615600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4609603",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.