DR. DIPAKKUMAR PRAVINCHANDRA PANDYA M.D.
NPI 1265486294
Psychiatry & Neurology - Neurology in Annandale, NJ

Q: What is Dipakkumar Pandya's NPI number?

The NPI number for Dipakkumar Pandya is 1265486294. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Q: What is Dipakkumar Pandya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dipakkumar Pandya was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment

99.08/100

CMS Quality Rating

1322 ROUTE 31 N STE 2, ANNANDALE, NJ 08801(908) 894-7222(908) 894-7128 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Dipakkumar Pravinchandra Pandya M.d. NPPES

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

DR. DIPAKKUMAR PRAVINCHANDRA PANDYA M.D. (NPI 1265486294) is an individual neurology provider in Annandale, New Jersey, licensed in New Jersey (25MA08079600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1265486294

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. DIPAKKUMAR PRAVINCHANDRA PANDYACredential: M.D.

Location Address1322 ROUTE 31 N STE 2Annandale, NJ 08801-3127

Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680

Phone(908) 894-7222

Fax(908) 894-7128

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2005

Enumeration DateMay 22, 2006

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1265486294 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 · 25MA08079600

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.

1322 ROUTE 31 N STE 2, Annandale, NJ 08801

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Secondary Practice Location 1

Location 165 James StEdison, NJ 08820-3947 · Phone (732) 321-7010 · Fax (732) 654-1584

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Dipakkumar Pravinchandra Pandya M.d. 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 ID3870506041

PECOS Enrollment IDI20060711000404

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 Reassignments

Medicare enrollment records show Dipakkumar Pandya reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hunterdon Neurology, PA

0.4 mi

Neurology

1322 STATE ROUTE 31 N STE 2
Annandale, NJ 08801

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1225600398 (908) 894-7222

Hunterdon Orthopedic Institute PA

5.7 mi

Orthopaedic Surgery

8100 WESCOTT DRIVE, SUITE 101
Flemington, NJ 08822

Reassigned Medicare billing, New Jersey enrollment
27 clinicians in this Medicare group

NPI 1619952595 (908) 782-0600

Hunterdon Medical Center

6.0 mi

General Acute Care Hospital

2100 WESCOTT DR
Flemington, NJ 08822

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1922095116 (908) 788-6100

Hackensack Meridian Health Medical Group - Specialty Care PC

46 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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568

This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.

10,960 services42 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

620 services337 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

182 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

151 services88 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

138 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

104 services104 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

92 services36 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

84 services82 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

72 services72 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

67 services32 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

57 services31 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

27 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services14 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

17 services11 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

13 services13 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

13 services13 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08801 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.33

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

PREFERRED THERAPEUTICS, LLC

Clinic/Center (Infusion Therapy)

1322 ROUTE 31 N STE 2
ANNANDALE, NJ 08801

Hunterdon County (908) 894-7222

MRS. TIFFANY LYNN WALCK APN-C

Psychiatry & Neurology (Neurology)

1322 ROUTE 31 N STE 2
ANNANDALE, NJ 08801

Hunterdon County (908) 894-7222

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 Dipakkumar Pandya's NPI number?

The NPI number for Dipakkumar Pandya is 1265486294. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Dipakkumar Pandya located?

Dipakkumar Pandya practices at 1322 Route 31 N Ste 2, Annandale, NJ 08801. The listed phone number is (908) 894-7222.

What is Dipakkumar Pandya's specialty?

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

Is Dipakkumar Pandya enrolled in Medicare?

Yes. Dipakkumar 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 organizations bill Medicare for Dipakkumar Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dipakkumar Pandya reassigns Medicare benefits to 4 organizations: Hunterdon Neurology, PA (Annandale, NJ), Hunterdon Orthopedic Institute PA (Flemington, NJ), Hunterdon Medical Center (Flemington, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Dipakkumar Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dipakkumar Pandya accept?

Health plans from Oscar Health list Dipakkumar 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.

Is Dipakkumar Pandya affiliated with any hospitals?

According to CMS data, Dipakkumar Pandya is affiliated with Raritan Bay Medical Center, St Luke's Warren Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Dipakkumar Pandya was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.