Physician Compare National (NPI:1104804400)

HEALTHCARE PROVIDER: MADHUKAR PANDYA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104804400
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113950080
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050913000237
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PANDYA
	Individual professional last name
Provider First Name	MADHUKAR
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	20 LINCOLN ST
	Group Practice or individual's line 1 address
City	JERSEY CITY
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	073072933
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2019635009
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAREPOINT HEALTH-CHRIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310074
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JERSEY CITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y