Provider Demographics
NPI:1295786440
Name:GAMI, NISHITH M (MD)
Entity type:Individual
Prefix:
First Name:NISHITH
Middle Name:M
Last Name:GAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 W ROUTE 38
Mailing Address - Street 2:SUITE 540
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3238
Mailing Address - Country:US
Mailing Address - Phone:856-787-0260
Mailing Address - Fax:856-787-0262
Practice Address - Street 1:212 W ROUTE 38
Practice Address - Street 2:SUITE 540
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3238
Practice Address - Country:US
Practice Address - Phone:856-787-0260
Practice Address - Fax:856-787-0262
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2023-07-27
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06796000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8197903Medicaid
NJ8197903Medicaid
NJ024163Medicare PIN
NJ024163ZD3TMedicare PIN