NPPES file of Aug 9, 2026

Prashant N. Pandya, MD

Internal Medicine Physician · West Orange, NJ

Prashant N. Pandya, MD is an internal medicine physician with a practice address in West Orange, New Jersey, and NPI 1497738876, issued on Nov 21, 2005. Check the license (New Jersey 25MA06751300, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497738876
Name
Prashant N. Pandya
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
25MA06751300 NJ
Self-reported in NPPES; status is on the state search
Practice location
449 Mount Pleasant Ave, West Orange, NJ 07052
Phone
(973) 731-7868
Enumerated
Nov 21, 2005
Record last updated
Nov 21, 2016 (not updated in 10 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20091209000137); accepts Medicare assignment
Medical or professional school
University Of Michigan Medical School, 1992
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 449 Mount Pleasant Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Benny Chu, DOInternal Medicine Physician1851483754
  2. Jon Green, M.D.Gastroenterology Physician1245283563
  3. Thomas Higgins, M.D.Cardiovascular Disease Physician1568463446
  4. Daniel Lee, M.D.Internal Medicine Physician1811193865
  5. Kaushik Modi, M.D.Cardiovascular Disease Physician1700886132

Verify Prashant N. Pandya in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA06751300
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.2 times the Medicare Part D claims of the average internal medicine physician in 2024

6,960 Medicare Part D claims for 692 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 59 claims were for opioids.

  1. Prashant Pandya6,960
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium555 claims
  2. Amlodipine Besylate434 claims
  3. Rosuvastatin Calcium403 claims
  4. Levothyroxine Sodium254 claims
  5. Olmesartan Medoxomil234 claims
  6. Metformin Hcl Er222 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $318.21

18 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Prashant Pandya$318.21
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Optum Medical Care OF New Jersey PCBayonne, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Prashant N. Pandya among 4,632 internal medicine physician records in New Jersey

Prashant N. Pandya, MD is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated1992 · median 2000 among the 3,132 with a school on file
  • Record last updated2016 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

36 internal medicine physician records list a practice address in West Orange

They are 36 of the 1,370 NPPES records with a practice address in West Orange, and 4,632 internal medicine physician records in New Jersey.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Samih Abbassi, MDWest Orange, NJ 070521750380358
  2. Somaya Abboud, MDWest Orange, NJ 070521326089004
  3. Adel Armanious, MDWest Orange, NJ 070521417920695
  4. Andrew Baddoo, M.D.West Orange, NJ 070521881653608
  5. Joseph Cervone, MDWest Orange, NJ 070521710991187
  6. Shereelah Deen, M.D.West Orange, NJ 070521649287756
  7. David Haacker, MDWest Orange, NJ 070521902879000
  8. Howard Holtz, M.D.West Orange, NJ 070521972528669

Common questions

What is Prashant N. Pandya, MD's NPI number?

Prashant N. Pandya, MD's National Provider Identifier (NPI) is 1497738876, issued on Nov 21, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Prashant N. Pandya, MD located?

The NPPES record lists a practice address at 449 Mount Pleasant Ave, West Orange, NJ, 07052. Phone: (973) 731-7868. Providers update this record themselves, so call before visiting.

How can I verify Prashant N. Pandya, MD's license?

NPPES lists New Jersey license number 25MA06751300, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Prashant N. Pandya, MD prescribe under Medicare Part D?

In 2024, Prashant N. Pandya, MD had 6,960 Medicare Part D claims for 692 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.