Healthcare Provider Details

I. General information

NPI: 1003063595
Provider Name (Legal Business Name): BINA KAPILA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 COPPERTREE CT
EDISON NJ
08820-4055
US

IV. Provider business mailing address

145 COPPERTREE CT
EDISON NJ
08820-4055
US

V. Phone/Fax

Practice location:
  • Phone: 973-641-4777
  • Fax:
Mailing address:
  • Phone: 732-662-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA02276100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: