Provider Demographics
NPI:1649239104
Name:ASHOK K. KESWANI, M.D., P.C.
Entity Type:Organization
Organization Name:ASHOK K. KESWANI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:K
Authorized Official - Last Name:KESWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-845-5645
Mailing Address - Street 1:992 MANTUA PIKE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WOODBURY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08097-1246
Mailing Address - Country:US
Mailing Address - Phone:856-845-5645
Mailing Address - Fax:
Practice Address - Street 1:992 MANTUA PIKE
Practice Address - Street 2:SUITE 104
Practice Address - City:WOODBURY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08097-1246
Practice Address - Country:US
Practice Address - Phone:856-845-5645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7844701Medicaid
NJG11997Medicare UPIN
NJ023895WYLMedicare PIN