Provider Demographics
NPI:1518158880
Name:NARULA, JIWANJOT (MD)
Entity Type:Individual
Prefix:DR
First Name:JIWANJOT
Middle Name:
Last Name:NARULA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 GREENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-2608
Mailing Address - Country:US
Mailing Address - Phone:201-333-8222
Mailing Address - Fax:201-333-0095
Practice Address - Street 1:510 31ST ST BSMT
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3907
Practice Address - Country:US
Practice Address - Phone:201-866-3322
Practice Address - Fax:201-866-2289
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08833800207R00000X, 207RN0300X
NY260416207R00000X, 207RN0300X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0293253Medicaid