Active NPI 1780692616 Individual Practitioner Female Practitioner

Dr. Nirmala Panda , MD

Pediatrics • Mount Laurel, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Nirmala Panda, MD is a registered healthcare professional specializing in Pediatrics in Mount Laurel, NJ. Practice services are available at 813 EAST GATE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 East Gate Drive

Mount Laurel, NJ 08054

Telephone 8569141770

Fax 8569141773

Associated Practice Facility / Clinic

🏢 Phoenix Medical Group Facility NPI 1477881472

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mount Laurel, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Mount Laurel, NJ (2321 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MA03543400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0652806 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Albert Dipasquale , MD

Dermatology

NPI 1740284595

Doctor of Medicine (M.D.)

Dr. Edward Baruch , MD

Psychiatry & Neurology - Psychiatry

NPI 1801096284

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2013

Registered at 813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054 (Tel: 8569141770)

📍

Updated Business Mailing Address October 30, 2013

Registered at 813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054 (Tel: 8569141770)

👤

Provider Name / Credentials Updated October 30, 2013

Recorded as NIRMALA PANDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2013

Pediatrics (License #25MA03543400 in NJ)

🟢

Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780692616

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 04, 2006

Last Update: October 30, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

813 East Gate Drive

Mount Laurel, NJ 08054

Phone: 8569141770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.