Provider Demographics
NPI:1467493957
Name:NAYAR, ROMESH C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMESH
Middle Name:C
Last Name:NAYAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:R
Other - Middle Name:C
Other - Last Name:NAYAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:81 FORD AVE
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2555
Mailing Address - Country:US
Mailing Address - Phone:973-328-6484
Mailing Address - Fax:973-361-5286
Practice Address - Street 1:81 FORD AVE
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2555
Practice Address - Country:US
Practice Address - Phone:973-328-6484
Practice Address - Fax:973-361-5286
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA54840207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3841308Medicaid
NJ3841308Medicaid
E55095Medicare UPIN