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SHIVANI D THAKER PA-C
NPI 1922667146
Physician Assistant in South Amboy, NJ

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
963 US HIGHWAY 9, SOUTH AMBOY, NJ 08879(732) 952-3627 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Nov 20, 2019, Jun 11, 2019 (3 updates tracked since 2019).

About Shivani D Thaker Pa-c NPPES

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

SHIVANI D THAKER PA-C (NPI 1922667146) is an individual physician assistant in South Amboy, New Jersey and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922667146
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIVANI D THAKERCredential: PA-C
Location Address963 US HIGHWAY 9South Amboy, NJ 08879-3302
Mailing Address963 Us Highway 9South Amboy, NJ 08879-3302 · (732) 952-3627
Phone(732) 952-3627
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2019
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1922667146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
963 US HIGHWAY 9, South Amboy, NJ 08879
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shivani D Thaker Pa-c 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 ID4981933868
PECOS Enrollment IDI20190903002221
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
62 services62 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm 13131
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size is between 1.1-2.5 cm. This repair may involve multiple layers of sutures and could require reconstruction of the skin.
24 services24 patients
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151
This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08879 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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 Shivani Thaker's NPI number?

The NPI number for Shivani Thaker is 1922667146. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Shivani Thaker located?

Shivani Thaker practices at 963 Us Highway 9, South Amboy, NJ 08879. The listed phone number is (732) 952-3627.

What is Shivani Thaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shivani Thaker enrolled in Medicare?

Yes. Shivani Thaker 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.

Is Shivani Thaker affiliated with any hospitals?

According to CMS data, Shivani Thaker is affiliated with Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Shivani Thaker was last updated on October 19, 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.