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DR. PANKAJ SHIROLAWALA MD
NPI 1013103712
Internal Medicine in Perth Amboy, NJ

Active since September 18, 2007
609 AMBOY AVE STE 101, PERTH AMBOY, NJ 08861(732) 442-2211(732) 326-0517 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pankaj Shirolawala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PANKAJ SHIROLAWALA MD (NPI 1013103712) is a healthcare organization registered as an internal medicine in Perth Amboy, New Jersey and active in the NPI registry since September 2007. The organization lists Pankaj R Shirolawala, Physician - Single Owner - Llc, as its authorized official.

NPPES Registry Identity

NPI1013103712
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePANKAJ SHIROLAWALA MD LLC
Location Address609 AMBOY AVE STE 101Perth Amboy, NJ 08861-2577
Mailing Address61 Arizona AveOld Bridge, NJ 08857-4317 · (732) 442-2211 · Fax (732) 326-0517
Phone(732) 442-2211
Fax(732) 326-0517
Organization SubpartNo
Authorized OfficialPankaj R ShirolawalaPhysician - Single Owner - Llc · (732) 442-2211
Enumeration DateSeptember 18, 2007
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1013103712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07849500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
609 AMBOY AVE STE 101, Perth Amboy, NJ 08861
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Other Names 1

Doing Business AsDr. Pankaj Shirolawala Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pankaj Shirolawala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20060418000541Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Pankaj Shirolawala MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pankaj Shirolawala, M.D.
Internal Medicine
NPI 1003882523
609 AMBOY AVE STE 101
Perth Amboy, NJ 08861
(732) 442-2211
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pankaj Shirolawala MD LLC's NPI number?

The NPI number for Pankaj Shirolawala MD LLC is 1013103712. It was assigned to this organization in the NPPES registry on September 18, 2007. The provider is doing business as Dr. Pankaj Shirolawala MD.

Where is Pankaj Shirolawala MD LLC located?

Pankaj Shirolawala MD LLC is located at 609 Amboy Ave Ste 101, Perth Amboy, NJ 08861. The listed phone number is (732) 442-2211.

What is Pankaj Shirolawala MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pankaj Shirolawala MD LLC enrolled in Medicare?

Yes. Pankaj Shirolawala MD LLC is registered in the Medicare PECOS enrollment system.

When is Pankaj Shirolawala MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pankaj Shirolawala MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pankaj Shirolawala MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pankaj Shirolawala MD LLC was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.