Provider Demographics
NPI:1457594004
Name:NAIK, AMISH ATULBHAI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AMISH
Middle Name:ATULBHAI
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1992 MORRIS AVE
Mailing Address - Street 2:PMB 348
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083
Mailing Address - Country:US
Mailing Address - Phone:973-440-3444
Mailing Address - Fax:
Practice Address - Street 1:33 BLEEKER ST STE 101
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1460
Practice Address - Country:US
Practice Address - Phone:973-440-3444
Practice Address - Fax:973-440-3021
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273305207XS0106X, 207X00000X
AZ52454207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONS