Provider Demographics
NPI:1881610335
Name:NAGARSHETH, VEENA H (MD)
Entity type:Individual
Prefix:DR
First Name:VEENA
Middle Name:H
Last Name:NAGARSHETH
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 PARLIN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2263
Mailing Address - Country:US
Mailing Address - Phone:732-238-2333
Mailing Address - Fax:732-238-8501
Practice Address - Street 1:3 PARLIN DR
Practice Address - Street 2:SUITE B
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2263
Practice Address - Country:US
Practice Address - Phone:732-238-2333
Practice Address - Fax:732-238-8501
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03594100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3214401Medicaid
NJ1669526133OtherGROUP NPI
NJ3187004OtherMEDICAID BILLING PROVIDER #
666190B1FOtherMEDICARE BILLING NUMER
NJ3187004OtherMEDICAID BILLING PROVIDER #