Provider Demographics
NPI:1083660849
Name:ARUN C NAIK MD LLC
Entity Type:Organization
Organization Name:ARUN C NAIK MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-259-1140
Mailing Address - Street 1:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-0316
Mailing Address - Country:US
Mailing Address - Phone:973-259-1140
Mailing Address - Fax:
Practice Address - Street 1:221 CHESTNUT ST
Practice Address - Street 2:SUITE 301-302
Practice Address - City:ROSELLE
Practice Address - State:NJ
Practice Address - Zip Code:07203-1297
Practice Address - Country:US
Practice Address - Phone:908-259-1140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64337174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8249105Medicaid
NJ037115Medicare ID - Type Unspecified
NJ8249105Medicaid