Provider Demographics
NPI:1376067181
Name:NGHOTRA
Entity Type:Organization
Organization Name:NGHOTRA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NAVJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-239-1818
Mailing Address - Street 1:3185 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3415
Mailing Address - Country:US
Mailing Address - Phone:201-239-1818
Mailing Address - Fax:201-459-1818
Practice Address - Street 1:3185 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3415
Practice Address - Country:US
Practice Address - Phone:201-239-1818
Practice Address - Fax:201-459-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty