Provider Demographics
NPI:1063492965
Name:NADARAJAH, DAYA (MD)
Entity Type:Individual
Prefix:DR
First Name:DAYA
Middle Name:
Last Name:NADARAJAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 HIGH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-9604
Mailing Address - Country:US
Mailing Address - Phone:973-579-5090
Mailing Address - Fax:973-579-7409
Practice Address - Street 1:222 HIGH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9604
Practice Address - Country:US
Practice Address - Phone:973-579-5090
Practice Address - Fax:973-579-7409
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA44580207RC0200X, 207RP1001X
NJ25MA04458000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2106205Medicaid
NJE22260Medicare UPIN
NJ2106205Medicaid