Provider Demographics
NPI:1487686044
Name:GOHEL, MITAL J (DC)
Entity Type:Individual
Prefix:DR
First Name:MITAL
Middle Name:J
Last Name:GOHEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 SUMMIT AVE
Mailing Address - Street 2:SUITE B1 (BASEMENT)
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2707
Mailing Address - Country:US
Mailing Address - Phone:201-255-0657
Mailing Address - Fax:201-255-0668
Practice Address - Street 1:550 SUMMIT AVE
Practice Address - Street 2:SUITE B1 (BASEMENT)
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2707
Practice Address - Country:US
Practice Address - Phone:201-255-0657
Practice Address - Fax:201-255-0668
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00621300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ299857OtherAMERIGROUP
NJ5719465OtherFIRST HEALTH NETWORK
NJ161734373OtherHORIZON BCBS
NJ161734373OtherMULTIPLAN, INC.
NJ5729640001OtherDMEPOS
NJ11553798OtherCAQH
NJ161734373OtherLANDMARK HEALTHCARE
NJ2744683000OtherAMERIHEALTH HMO
NJ9408495OtherPHCS
NJ161734373OtherTRIAD HEALTHCARE
NJ60020337OtherHORIZON NJ HEALTH
NJ0084760Medicaid
NJ1274880OtherAETNA
NJ161734373OtherUNITED HEALTHCARE
NJX05S2OtherEMPIRE BCBS
NJ1063440OtherASH NETWORKS
NJ1063440OtherCIGNA
NJ161734373OtherINTEGRATED HEALTH PLAN
NJ161734373OtherINTEGRATED HEALTH PLAN
NJ2744683000OtherAMERIHEALTH HMO