Individual provider

Pragati Pandey, M.D.

Family Medicine Physician Medicare enrolled

Pragati Pandey, M.D. is a Family Medicine Physician in Montclair, NJ, registered under NPI 1831380195.

Getting there

The practice address on file is 1 SEYMOUR ST, Montclair, NJ 07042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 SEYMOUR ST, Montclair, NJ 07042 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA12790400 NJ Family Medicine Physician primary
52993 CO Family Medicine Physician
R5022 TX Family Medicine Physician
52854 MN Family Medicine Physician

Licences are recorded in 4 states: NJ, CO, TX, MN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
8921290099

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Colorado, Minnesota, New Jersey and Texas. The practice address on file is in Montclair, NJ, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
52993
Specialty
Family Medicine Physician
Verify with the CO board →
MN Minnesota
Licence
52854
Specialty
Family Medicine Physician
Verify with the MN board →
NJ New Jersey practice address
Licence
25MA12790400
Specialty
Family Medicine Physician
Verify with the NJ board →
TX Texas
Licence
R5022
Specialty
Family Medicine Physician
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 25MA12790400 NJ primary
207Q00000X Family Medicine Physician 52993 CO
207Q00000X Family Medicine Physician R5022 TX
207Q00000X Family Medicine Physician 52854 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1831380195 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 1, 2007
Last updatedOct 28, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1 SEYMOUR ST
Montclair, NJ 07042
(973) 302-9620
Mailing address 1 DIAMOND HILL RD
Berkeley Heights, NJ 07922
This record was updated on Oct 28, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1831380195 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 3 1 3 8 0 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 6 1 6 8 0 1 9

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1831380195?
NPI 1831380195 is the National Provider Identifier assigned to Pragati Pandey, M.D. in Montclair, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Pragati Pandey, M.D.?
The phone number on file with NPPES is (973) 302-9620, last updated Oct 28, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Pragati Pandey, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1831380195 a valid number?
Yes. 1831380195 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.