Healthcare Provider Details

I. General information

NPI: 1215427778
Provider Name (Legal Business Name): NADIA AURORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 NEWARK AVE
JERSEY CITY NJ
07302-2960
US

IV. Provider business mailing address

116 NEWARK AVE
JERSEY CITY NJ
07302-2960
US

V. Phone/Fax

Practice location:
  • Phone: 201-984-1270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA11554900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberS66326772
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: