Healthcare Provider Details

I. General information

NPI: 1962555193
Provider Name (Legal Business Name): BIPIN PARIKH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 NEWARK AVE
JERSEY CITY NJ
07302-2811
US

IV. Provider business mailing address

135 NEWARK AVE
JERSEY CITY NJ
07302-2811
US

V. Phone/Fax

Practice location:
  • Phone: 201-451-8867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA03943100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: