Provider Demographics
NPI:1649337296
Name:PARIKH, NITIN (MD)
Entity type:Individual
Prefix:DR
First Name:NITIN
Middle Name:
Last Name:PARIKH
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 1:3368 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-4207
Mailing Address - Country:US
Mailing Address - Phone:201-656-8811
Mailing Address - Fax:
Practice Address - Street 1:3368 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-4207
Practice Address - Country:US
Practice Address - Phone:201-656-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03962400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP256OtherOXFORD HEALTH PLAN
2769OtherAETNA HEALTH PLAN
NJ7621809Medicaid
NJ7621809Medicaid
HP256OtherOXFORD HEALTH PLAN