Provider Demographics
NPI:1518986538
Name:SARAF, NIRMALA (MD)
Entity Type:Individual
Prefix:
First Name:NIRMALA
Middle Name:
Last Name:SARAF
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 1:310 CENTRAL AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2835
Mailing Address - Country:US
Mailing Address - Phone:973-395-1500
Mailing Address - Fax:973-395-1803
Practice Address - Street 1:310 CENTRAL AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2835
Practice Address - Country:US
Practice Address - Phone:973-395-1500
Practice Address - Fax:973-395-1803
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA064416207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7014612006OtherCIGNA HEM/ONC
NJ7018002Medicaid
NJ89595OtherAMERIGROUP
NJP1132900OtherOXFORD
NJ2K4591OtherHEALTHNET
NJ1879456OtherUNITED HEALTHCARE
NJ5100338OtherGHI
NJ7014612005OtherCIGNA INTERNAL MED.
NJ1087912OtherHORIZON MERCY
NJ5222580OtherAETNA
NJ2K4591OtherHEALTHNET
NJ7018002Medicaid