Healthcare Provider Details

I. General information

NPI: 1972080844
Provider Name (Legal Business Name): MONIL MUKESHKUMAR MAJMUNDAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 RIDGEDALE AVE
CEDAR KNOLLS NJ
07927-1313
US

IV. Provider business mailing address

1901, 1ST AVENUE, DEPARTMENT OF MEDICINE
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 973-401-1100
  • Fax:
Mailing address:
  • Phone: 212-423-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13086300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA13086300
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MA13086300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: