Provider Demographics
NPI:1558386144
Name:VORA, NAGINDAS M (MD)
Entity Type:Individual
Prefix:MR
First Name:NAGINDAS
Middle Name:M
Last Name:VORA
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 1:181 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1550
Mailing Address - Country:US
Mailing Address - Phone:856-678-9002
Mailing Address - Fax:856-678-4027
Practice Address - Street 1:66 EAST AVE
Practice Address - Street 2:SUITE C
Practice Address - City:WOODSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08098-1417
Practice Address - Country:US
Practice Address - Phone:856-624-4319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03711700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2984008Medicaid
NJ2984008Medicaid
NJ053900Medicare PIN