Provider Demographics
NPI:1912168329
Name:NESHI BAKSHI, MD, PA
Entity Type:Organization
Organization Name:NESHI BAKSHI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NESHI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-777-9023
Mailing Address - Street 1:1080 STELTON RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5200
Mailing Address - Country:US
Mailing Address - Phone:732-777-9023
Mailing Address - Fax:
Practice Address - Street 1:1080 STELTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5200
Practice Address - Country:US
Practice Address - Phone:732-777-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ027709207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4109243OtherAETNA
NJ34348OtherAETNA HMO
NJOK8964OtherHEALTHNET
NJP823194OtherOXFORD
NJ1750350534OtherINDIVIDUAL NPI
NJ4109243OtherAETNA