Provider Demographics
NPI:1235115312
Name:CHINAI, RONAK N (MD)
Entity Type:Individual
Prefix:DR
First Name:RONAK
Middle Name:N
Last Name:CHINAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 MT. PROSPECT AVE
Mailing Address - Street 2:C/O DOCTOR'S FIRST CREDIT CORP.
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:973-249-6969
Mailing Address - Fax:973-249-9988
Practice Address - Street 1:610 WASHINGTON BLVD
Practice Address - Street 2:1ST FLOOR NEWPORT LIBERTY MEDICAL
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310
Practice Address - Country:US
Practice Address - Phone:201-222-1266
Practice Address - Fax:201-626-4548
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07740500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0045691Medicaid
NJ0045691Medicaid
NJ086746TM2Medicare PIN