Provider Demographics
NPI:1639271984
Name:NAJARIAN, LAWRENCE V (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:V
Last Name:NAJARIAN
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:PO BOX 103
Mailing Address - Street 2:400 MAIN STREET
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-0103
Mailing Address - Country:US
Mailing Address - Phone:908-781-2020
Mailing Address - Fax:908-781-7505
Practice Address - Street 1:773 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4846
Practice Address - Country:US
Practice Address - Phone:201-833-8333
Practice Address - Fax:201-833-8384
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165563207W00000X
NJ25MA04973100207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TS113OtherOXFORD
NJ1170601Medicaid
OM1314OtherHEALTHNET
NJ1170601Medicaid
TS113OtherOXFORD