Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shruti Pandya

Individual provider Nurse Practitioner · NPI 1861191660

Shruti Pandya is a Nurse Practitioner in Randolph, New Jersey. Qualified in 2022, 4 years ago. Practices with Id Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023

Practice location Address checks out

765 Route 10 E Ste 201
Randolph, NJ 07869-1925
Phone: (973) 989-0068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01443800 (NJ)

Record details

NPI number1861191660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateFebruary 24, 2023
Mailing address105 Raider Blvd Ste 101, Hillsborough, NJ 08844-1528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Id Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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