Provider Demographics
NPI:1700416492
Name:NJ VORA HEALTH P.C
Entity Type:Organization
Organization Name:NJ VORA HEALTH P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KETAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-496-9550
Mailing Address - Street 1:1651 FEDERSPIEL ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6940
Mailing Address - Country:US
Mailing Address - Phone:718-496-9550
Mailing Address - Fax:
Practice Address - Street 1:1651 FEDERSPIEL ST
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6940
Practice Address - Country:US
Practice Address - Phone:718-496-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty