Provider Demographics
NPI:1932142981
Name:PARIKH, JAYESH K (MD, FCCP)
Entity Type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:K
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HOSPITAL DR STE A18
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6425
Mailing Address - Country:US
Mailing Address - Phone:732-557-5515
Mailing Address - Fax:732-557-5516
Practice Address - Street 1:9 HOSPITAL DR STE A18
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6425
Practice Address - Country:US
Practice Address - Phone:732-557-5515
Practice Address - Fax:732-557-5516
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA065571207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8348600Medicaid
NJG79953Medicare UPIN
NJ8348600Medicaid