Provider Demographics
NPI:1275604076
Name:BATRA, NORMAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:M
Last Name:BATRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NARENDRA
Other - Middle Name:M
Other - Last Name:BATRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:220 BRIDGE ST
Mailing Address - Street 2:BLDG. E
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2291
Mailing Address - Country:US
Mailing Address - Phone:732-548-2500
Mailing Address - Fax:732-549-7070
Practice Address - Street 1:220 BRIDGE ST
Practice Address - Street 2:BLDG. E
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2291
Practice Address - Country:US
Practice Address - Phone:732-548-2500
Practice Address - Fax:732-549-7070
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04114500208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5658101Medicaid
NJB12325Medicare UPIN
NJ501040P28Medicare ID - Type Unspecified