Provider Demographics
NPI:1720034218
Name:BAJPAI, ENAKSHI (DO)
Entity Type:Individual
Prefix:
First Name:ENAKSHI
Middle Name:
Last Name:BAJPAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 W RED BANK AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1630
Mailing Address - Country:US
Mailing Address - Phone:856-845-6807
Mailing Address - Fax:856-845-3760
Practice Address - Street 1:17 W RED BANK AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1630
Practice Address - Country:US
Practice Address - Phone:856-845-6807
Practice Address - Fax:856-845-3760
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB67070207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7359410OtherAETNA
PA2114330000OtherPENNSYLVANIA BLUE SHIELD
NJP00033914OtherRAILROAD MEDICARE
NJ004154Medicaid
NJ222173875OtherBLUE SHIELD
NJ2286064OtherUNITED HEALTHCARE
PA3093236OtherAETNA HMO
NJ2K4599OtherHEALTHNET
NJ30020831OtherKEYSTONE MERCY
NJ5929095OtherCIGNA
NJ60000752OtherHORIZON MERCY
NJ2114330000OtherAMERIHEALTH
NJP2878207OtherOXFORD
NJ1429314OtherAMERIHEALTH ADMINISTRATOR
NJ2K4599OtherHEALTHNET
NJ2286064OtherUNITED HEALTHCARE
PA077499POCMedicare ID - Type UnspecifiedPENNSYLVANIA MEDICARE