Provider Demographics
NPI:1831517549
Name:NAIR, PRADEP
Entity type:Individual
Prefix:MR
First Name:PRADEP
Middle Name:
Last Name:NAIR
Suffix:
Gender:M
Credentials:
Other - Prefix:MRS
Other - First Name:RAJASHREE
Other - Middle Name:
Other - Last Name:NAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1259 ROUTE 46 E, BLDG#2, STE# 270
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-299-1100
Mailing Address - Fax:973-299-1119
Practice Address - Street 1:1259 ROUTE 46
Practice Address - Street 2:BLDG#2, STE 270
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4913
Practice Address - Country:US
Practice Address - Phone:973-299-1100
Practice Address - Fax:973-299-1119
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0182400171M00000X, 374U00000X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide