Provider Demographics
NPI:1164500146
Name:BATWARA, RUCHIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:RUCHIKA
Middle Name:
Last Name:BATWARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 RIVER CT
Mailing Address - Street 2:APT 1902
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2016
Mailing Address - Country:US
Mailing Address - Phone:414-431-8516
Mailing Address - Fax:
Practice Address - Street 1:1818 JOHN F KENNEDY BLVD
Practice Address - Street 2:JERSEY CITY
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305
Practice Address - Country:US
Practice Address - Phone:201-333-8222
Practice Address - Fax:201-333-0095
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09095300207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI77220Medicare UPIN