Healthcare Provider Details

I. General information

NPI: 1255835435
Provider Name (Legal Business Name): PAULA PRANAY AMIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S OHIO AVE STE 2100
ATLANTIC CITY NJ
08401-6711
US

IV. Provider business mailing address

331 NEMAN SPRINGS RD BLDG 2, STE 200
RED BANK NJ
07701
US

V. Phone/Fax

Practice location:
  • Phone: 609-441-8146
  • Fax:
Mailing address:
  • Phone: 732-807-0880
  • Fax: 732-791-9577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA11208700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: