Provider Demographics
NPI:1811228901
Name:RAVINDER M. NARANG MD PA
Entity Type:Organization
Organization Name:RAVINDER M. NARANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVINDER
Authorized Official - Middle Name:M
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-471-9454
Mailing Address - Street 1:721 CLIFTON AVENUE
Mailing Address - Street 2:1C
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1880
Mailing Address - Country:US
Mailing Address - Phone:973-471-9454
Mailing Address - Fax:973-471-9576
Practice Address - Street 1:721 CLIFTON AVE.
Practice Address - Street 2:1C
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1880
Practice Address - Country:US
Practice Address - Phone:973-471-9454
Practice Address - Fax:973-471-9576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA3402000207R00000X
NJ25MA0266080207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ173891Medicare PIN