Healthcare Provider Details

I. General information

NPI: 1225479991
Provider Name (Legal Business Name): NUHEIGHTS PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 CLIFTON AVE SUITE 101
CLIFTON NJ
07013-3641
US

IV. Provider business mailing address

1115 CLIFTON AVE SUITE 101
CLIFTON NJ
07013-3641
US

V. Phone/Fax

Practice location:
  • Phone: 973-250-2970
  • Fax: 973-250-2971
Mailing address:
  • Phone: 973-250-2970
  • Fax: 973-250-2971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IKBAL TOKAT
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 973-250-2970