Provider Demographics
NPI:1669526133
Name:NAGARSHETH, MD.,PA.
Entity type:Organization
Organization Name:NAGARSHETH, MD.,PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:N
Authorized Official - Last Name:NAGARSHETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-238-8500
Mailing Address - Street 1:3 PARLIN DR STE B
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2263
Mailing Address - Country:US
Mailing Address - Phone:732-238-8500
Mailing Address - Fax:732-238-8501
Practice Address - Street 1:3 PARLIN DR STE B
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2263
Practice Address - Country:US
Practice Address - Phone:732-238-8500
Practice Address - Fax:732-238-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03412000207RG0300X, 207RC0000X
NJ25MA035941002080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ119549Medicare PIN