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VARUN PANDYA
NPI 1174104558
Psychiatry & Neurology - Neurology in Neptune City, NJ

Active since April 18, 2021PECOS EnrolledAccepts Medicare Assignment
1945 NJ-33, NEPTUNE CITY, NJ 07753(732) 897-3600(732) 897-3660 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, May 15, 2026, Apr 18, 2021 (3 updates tracked since 2021).

About Varun Pandya NPPES

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

VARUN PANDYA (NPI 1174104558) is an individual neurology provider in Neptune City, New Jersey, licensed in New Jersey (25MA13114500) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174104558
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameVARUN PANDYA
Location Address1945 NJ-33Neptune City, NJ 07753
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank,, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Phone(732) 897-3600
Fax(732) 897-3660
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2021
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1174104558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA13114500
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1945 NJ-33, Neptune City, NJ 07753
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Varun Pandya is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012471451
PECOS Enrollment IDI20260715005159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Varun Pandya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
9.1 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM GORDON RN, CRNA
Nurse Anesthetist, Certified Registered
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (732) 775-5500
LISA MEDORA ATTANASIO ACNPC-AG
Nurse Practitioner (Acute Care)
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (973) 508-2697
PAUL CHARLES KUMPF D.O.
Student in an Organized Health Care Education/Training Program
1945 NJ-33
NEPTUNE TOWNSHIP, NJ 07753
Monmouth County (848) 332-2659
MRS. NICOLE ELIZABETH SMITH APN
Nurse Practitioner (Family)
1945 NJ-33, JSUMC-INPATIENT WOUND CARE
NEPTUNE, NJ 07753
Monmouth County (732) 776-4680
DR. OMAR MASARWEH MD
Internal Medicine
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 755-5500
VRUSHAK P PATEL MD
Internal Medicine
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
MR. ROYCE SHOU
Internal Medicine
1945 NJ-33
NEPTUNE CITY, NJ 07753
Monmouth County (732) 776-2963
ZULFIYA TASHPULATOVA DO
Student in an Organized Health Care Education/Training Program
1945 NJ-33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455

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 Varun Pandya's NPI number?

The NPI number for Varun Pandya is 1174104558. It was assigned to this individual provider in the NPPES registry on April 18, 2021.

Where is Varun Pandya located?

Varun Pandya practices at 1945 Nj-33, Neptune City, NJ 07753. The listed phone number is (732) 897-3600.

What is Varun Pandya's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Varun Pandya enrolled in Medicare?

Yes. Varun Pandya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Varun Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Varun Pandya reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Varun Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Varun Pandya accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Varun Pandya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Varun Pandya was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.