Provider Demographics
NPI:1760401749
Name:NAGARIA, NEIL C (MD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:C
Last Name:NAGARIA
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 1:301 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-7335
Mailing Address - Country:US
Mailing Address - Phone:732-281-1590
Mailing Address - Fax:
Practice Address - Street 1:301 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7335
Practice Address - Country:US
Practice Address - Phone:732-281-1590
Practice Address - Fax:732-281-1593
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07998100207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology