Provider Demographics
NPI:1780808691
Name:BADHEKA, NEHA HEMANTKUMAR (MD)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:HEMANTKUMAR
Last Name:BADHEKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SARATOGA CT
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-7560
Mailing Address - Country:US
Mailing Address - Phone:917-545-1803
Mailing Address - Fax:
Practice Address - Street 1:3 SARATOGA CT
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753-7560
Practice Address - Country:US
Practice Address - Phone:917-545-1803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256693208M00000X
PAMD457018207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03258202Medicaid
NY03258202Medicaid
NY70005AMedicare PIN