Healthcare Provider Details

I. General information

NPI: 1285652230
Provider Name (Legal Business Name): DAVID NARDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/12/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WHITE HORSE PIKE STE 3
BARRINGTON NJ
08007-1322
US

IV. Provider business mailing address

274 FREEDOM WAY SUITE 3
BARRINGTON NJ
08007
US

V. Phone/Fax

Practice location:
  • Phone: 856-617-0933
  • Fax: 865-617-0179
Mailing address:
  • Phone: 856-617-0933
  • Fax: 856-617-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA05070600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number25MA05070600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: