Provider Demographics
NPI:1649597733
Name:SARAIYA, NIMIT NITIN (MD)
Entity type:Individual
Prefix:DR
First Name:NIMIT
Middle Name:NITIN
Last Name:SARAIYA
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 1:17 PILGRIM DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2521
Mailing Address - Country:US
Mailing Address - Phone:732-857-0234
Mailing Address - Fax:
Practice Address - Street 1:17 PILGRIM DR
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2521
Practice Address - Country:US
Practice Address - Phone:732-857-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09742200207RI0200X
NY272683207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ426274YC3FMedicare PIN