Healthcare Provider Details

I. General information

NPI: 1932265535
Provider Name (Legal Business Name): PRUDENT MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 BRIDGE ST BUILDING E
METUCHEN NJ
08840-2291
US

IV. Provider business mailing address

220 BRIDGE ST BUILDING E
METUCHEN NJ
08840-2291
US

V. Phone/Fax

Practice location:
  • Phone: 732-548-2500
  • Fax: 732-549-7070
Mailing address:
  • Phone: 732-548-2500
  • Fax: 732-549-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA04114600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number25MA04114500
License Number StateNJ

VIII. Authorized Official

Name: DR. LINA S. BATRA
Title or Position: MEMBER
Credential: M.D.
Phone: 732-548-2500