Healthcare Provider Details

I. General information

NPI: 1154502383
Provider Name (Legal Business Name): ANISH NIHALANI MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 JAMES ST
EDISON NJ
08820-3902
US

IV. Provider business mailing address

98 JAMES ST
EDISON NJ
08820-3902
US

V. Phone/Fax

Practice location:
  • Phone: 732-662-5888
  • Fax: 866-226-2263
Mailing address:
  • Phone: 732-662-5888
  • Fax: 866-226-2263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA08088000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number25MA08088000
License Number StateNJ

VIII. Authorized Official

Name: ANISH NIHALANI
Title or Position: SOLE OWNER
Credential: MD
Phone: 732-662-5888