Provider Demographics
NPI:1841222502
Name:PAREKH, JAI G (MD)
Entity Type:Individual
Prefix:DR
First Name:JAI
Middle Name:G
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1225 MCBRIDE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3813
Mailing Address - Country:US
Mailing Address - Phone:973-785-2050
Mailing Address - Fax:973-785-2423
Practice Address - Street 1:1225 MCBRIDE AVE STE 204
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-3813
Practice Address - Country:US
Practice Address - Phone:973-785-2050
Practice Address - Fax:973-785-2423
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72680207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8626006Medicaid
NJ051251A7UMedicare PIN
NJ8626006Medicaid