Dr Raj Panchal, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Clark, New Jersey. His current practice location is
1180 Raritan Rd, Clark, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 388-1508.
Dr Raj Panchal is licensed to practice in New Jersey (license number 25MB10919900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578097317.
Physician's Profile
| Full Name | Dr Raj Panchal |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1180 Raritan Rd, Clark, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578097317
- Provider Enumeration Date: 04/19/2017
- Last Update Date: 10/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567875537
- Enrollment ID: I20210112001297
Medical Identifiers
Medical identifiers for Dr Raj Panchal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578097317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 25MB10919900 (New Jersey) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raj Panchal allows following entities to bill medicare on his behalf.
| Entity Name | One Oak Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669997359
PECOS PAC ID: 9931467941
Enrollment ID: O20171221000605 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raj Panchal is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Raj Panchal, DO
550 1st Ave,
New York, NY 10016-6402
Ph: (212) 263-5506 | Dr Raj Panchal, DO
1180 Raritan Rd,
Clark, NJ 07066-1311
Ph: (732) 388-1508 |
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