Provider Demographics
NPI:1801975644
Name:NADKARNI, SWATI GIRISH (MD)
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:GIRISH
Last Name:NADKARNI
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 1:369 APPLEGARTH ROAD
Mailing Address - Street 2:MONROE TWSHP
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:609-395-1900
Mailing Address - Fax:609-395-1010
Practice Address - Street 1:369 APPLEGARTH ROAD
Practice Address - Street 2:MONROE TWSHP
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831
Practice Address - Country:US
Practice Address - Phone:609-395-1900
Practice Address - Fax:609-395-1010
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66555207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7894309Medicaid
NJ27272Medicare ID - Type Unspecified
G93605Medicare UPIN