Healthcare Provider Details

I. General information

NPI: 1639009798
Provider Name (Legal Business Name): FIRST OPINION NEW JERSEY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 BEAR TAVERN RD
EWING NJ
08628-1021
US

IV. Provider business mailing address

820 BEAR TAVERN RD
EWING NJ
08628-1021
US

V. Phone/Fax

Practice location:
  • Phone: 305-239-4737
  • Fax:
Mailing address:
  • Phone: 305-239-4737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIKRAM BAKHRU
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential: MD
Phone: 305-239-4737