Healthcare Provider Details

I. General information

NPI: 1083346951
Provider Name (Legal Business Name): PUJA PARIKH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE CITY NJ
07753-4859
US

IV. Provider business mailing address

1945 STATE ROUTE 33
NEPTUNE CITY NJ
07753-4859
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-3816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number25MB12634400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: