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KOMAL PANDYA DNP
NPI 1700698412
Nurse Practitioner - Family in Teaneck, NJ

Active since January 21, 2025PECOS Enrolled
400 FRANK W BURR BLVD STE 22, TEANECK, NJ 07666(201) 907-0442(201) 692-3262 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Komal Pandya Dnp NPPES

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

KOMAL PANDYA DNP (NPI 1700698412) is an individual family provider in Teaneck, New Jersey, licensed in New Jersey (26NJ15177300) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mountain Lakes.

NPPES Registry Identity

NPI1700698412
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKOMAL PANDYACredential: DNP
Location Address400 FRANK W BURR BLVD STE 22Teaneck, NJ 07666-6700
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Phone(201) 907-0442
Fax(201) 692-3262
Sole ProprietorYes
Enumeration DateJanuary 21, 2025
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1700698412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15177300
400 FRANK W BURR BLVD STE 22, Teaneck, NJ 07666
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Secondary Practice Location 1

Location 1333 US Highway 46Mountain Lakes, NJ 07046-1743 · Phone (973) 939-6220

Accepted Insurance

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

Komal Pandya Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Komal 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
37 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 07666 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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 Komal Pandya's NPI number?

The NPI number for Komal Pandya is 1700698412. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Komal Pandya located?

Komal Pandya practices at 400 Frank W Burr Blvd Ste 22, Teaneck, NJ 07666. The listed phone number is (201) 907-0442.

What is Komal Pandya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Komal Pandya enrolled in Medicare?

Yes. Komal Pandya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Komal Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Komal 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 Komal Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Komal Pandya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Komal 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 Komal Pandya was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.