Provider Demographics
NPI:1609958131
Name:MORAY, NANDINI (MD)
Entity Type:Individual
Prefix:DR
First Name:NANDINI
Middle Name:
Last Name:MORAY
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 1:37 PROGRESS ST
Mailing Address - Street 2:SUITE AA5
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1179
Mailing Address - Country:US
Mailing Address - Phone:908-546-7070
Mailing Address - Fax:908-546-7069
Practice Address - Street 1:37 PROGRESS ST
Practice Address - Street 2:SUITE AA5
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1179
Practice Address - Country:US
Practice Address - Phone:908-546-7070
Practice Address - Fax:908-546-7069
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7961901Medicaid
NJ086487Medicare ID - Type Unspecified
G99356Medicare UPIN