Provider Demographics
NPI:1457323008
Name:ARYA, ADARSH (MD)
Entity Type:Individual
Prefix:
First Name:ADARSH
Middle Name:
Last Name:ARYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 SAINT MARKS AVE
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2862
Mailing Address - Country:US
Mailing Address - Phone:860-539-5092
Mailing Address - Fax:
Practice Address - Street 1:354 SAINT MARKS AVE
Practice Address - Street 2:STE. E-3
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-2862
Practice Address - Country:US
Practice Address - Phone:860-539-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT42487208M00000X
CT042487207R00000X
NJ25MA07816300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001424879Medicaid
NJ0125211Medicaid
NJP01038218OtherRR MCR
NJ105528BB4Medicare PIN
NJP01038218OtherRR MCR
I17214Medicare UPIN