Provider Demographics
NPI:1205858883
Name:MAJITHIA, MEENAKSHEE NARENDRA (MD MBBS)
Entity Type:Individual
Prefix:MRS
First Name:MEENAKSHEE
Middle Name:NARENDRA
Last Name:MAJITHIA
Suffix:
Gender:F
Credentials:MD MBBS
Other - Prefix:
Other - First Name:MEENAKSHEE
Other - Middle Name:KHANDERAO
Other - Last Name:SOLADURKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 GLENWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4681
Mailing Address - Country:US
Mailing Address - Phone:201-451-2330
Mailing Address - Fax:201-451-1164
Practice Address - Street 1:22 GLENWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4681
Practice Address - Country:US
Practice Address - Phone:201-451-2330
Practice Address - Fax:201-451-1164
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04212400208000000X, 2080P0006X
NY001330171100000X
NJP0192171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
341993243OtherHORIZON BCBS
38051OtherUHD
NJ0016098Medicaid
2771121OtherEMPIRE BCBS
6005493OtherHORIZON MERCY
P3602151OtherOXFORD
6005493OtherHORIZON MERCY
G65306Medicare UPIN