Healthcare Provider Details

I. General information

NPI: 1841426558
Provider Name (Legal Business Name): NIRAJ BHALAKIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 KUSER RD
HAMILTON NJ
08691-3386
US

IV. Provider business mailing address

2501 KUSER RD
HAMILTON NJ
08691-3386
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-8800
  • Fax:
Mailing address:
  • Phone: 609-585-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number2026028077
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number036174665
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036174665
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: