Provider Demographics
NPI:1104029610
Name:HEALTHEXCEL PC
Entity Type:Organization
Organization Name:HEALTHEXCEL PC
Other - Org Name:HEALTHCHECK EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ATUL
Authorized Official - Middle Name:K
Authorized Official - Last Name:AGARWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:908-222-8700
Mailing Address - Street 1:906 OAK TREE AVE
Mailing Address - Street 2:SUITE J,
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5127
Mailing Address - Country:US
Mailing Address - Phone:908-222-8700
Mailing Address - Fax:908-222-8770
Practice Address - Street 1:906 OAK TREE AVE
Practice Address - Street 2:SUITE J,
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5127
Practice Address - Country:US
Practice Address - Phone:908-222-8700
Practice Address - Fax:908-222-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7554508Medicaid
NJ1204420001Medicare NSC
NJ007815Medicare PIN