Individual provider Active NPI

Anis Rangwala, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brick, NJ
National Provider Identifier
1992775928
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA03408800 Issued in NJ
Practice address
425 Jack Martin Blvd
Dept of Pathology Ocean Med Center
Brick, NJ 08724
Phone
(732) 840-3218
Fax
(732) 458-3851
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060228000001 NJ Practitioner - Pathology 9638151590 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Laboratory Physicians PA Anatomic Pathology & Clinical Pathology CurrentSince Oct 19, 1989 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 30, 2025 Accepting new patients
Dordaneh Maleki, LLC CurrentSince Jun 1, 2019 Accepting new patients
Coastal Gastroenterology Associates, P.a. Past Accepting new patients
Advanced Gastroenterology Associates, LLC PastSince Jul 13, 2009 Accepting new patients

Locations

2500 English Creek Ave
Ste 702
Egg Hbr Twp, NJ 08234
Phone (609) 407-2200

2106 New Rd
Ste D5
Linwood, NJ 08221
Phone (609) 289-7525

2517 Route 35
Bldg 101
Manasquan, NJ 08736
Phone (732) 528-7844

3200 Sunset Ave
Ste 107
Ocean, NJ 07712
Phone (732) 349-4994

3200 Sunset Ave
Ste 208
Ocean, NJ 07712
Phone (732) 775-9000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA03408800 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

425 Jack Martin Blvd
Dept of Pathology Ocean Med Center
Brick, NJ 08724

Mailing address

2517 Highway 35
BLDG M Suite 101
Manasquan, NJ 08736-1918

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8093504MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2008.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1992775928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 HIGHWAY 35",
            "address_2": "BLDG M SUITE 101",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "address_2": "DEPT OF PATHOLOGY OCEAN MED CENTER",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-840-3218",
            "fax_number": "732-458-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGWALA",
        "first_name": "ANIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA03408800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8093504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.