Provider Demographics
NPI:1518982958
Name:PARIKH, VIPUL K (MD)
Entity Type:Individual
Prefix:
First Name:VIPUL
Middle Name:K
Last Name:PARIKH
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 1:601 ROUTE 37 W
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8050
Mailing Address - Country:US
Mailing Address - Phone:732-240-1100
Mailing Address - Fax:732-240-1127
Practice Address - Street 1:601 ROUTE 37 W
Practice Address - Street 2:SUITE 104
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8050
Practice Address - Country:US
Practice Address - Phone:732-240-1100
Practice Address - Fax:732-240-1127
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA068822207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7973306Medicaid
NJ7973306Medicaid
NJ7973306Medicaid