Healthcare Provider Details

I. General information

NPI: 1912296427
Provider Name (Legal Business Name): PRIYA HARI JADEJA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 NEWMAN SPRINGS ROAD BLDG. 2 STE. 200
RED BANK NJ
07701
US

IV. Provider business mailing address

200 SCHULZ DRIVE STE. 2
RED BANK NJ
07701
US

V. Phone/Fax

Practice location:
  • Phone: 732-741-0970
  • Fax:
Mailing address:
  • Phone: 352-613-0991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA10061900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: