Provider Demographics
NPI:1821063488
Name:NAYAR, AMRIT P (MD)
Entity Type:Individual
Prefix:
First Name:AMRIT
Middle Name:P
Last Name:NAYAR
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 1:1245 BRACE ROAD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-429-7779
Mailing Address - Fax:856-429-7455
Practice Address - Street 1:1245 BRACE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-429-7779
Practice Address - Fax:856-429-7455
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40630208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4961307Medicaid
NJ0063682Medicare ID - Type Unspecified
NJD19357Medicare UPIN