Healthcare Provider Details

I. General information

NPI: 1750309589
Provider Name (Legal Business Name): SUDHIR M PARIKH M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 N 3RD AVE
HIGHLAND PARK NJ
08904-2408
US

IV. Provider business mailing address

18 N 3RD AVE
HIGHLAND PARK NJ
08904-2408
US

V. Phone/Fax

Practice location:
  • Phone: 732-545-0094
  • Fax: 732-545-4087
Mailing address:
  • Phone: 732-545-0094
  • Fax: 732-545-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUDHIR M PARIKH
Title or Position: OWNER OF CORPORATION
Credential: M D PA
Phone: 732-545-0094