=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417145541
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NANDINI MORAY MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/15/2007
-----------------------------------------------------
Last Update Date | 06/13/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 37 PROGRESS ST SUITE AA5
-----------------------------------------------------
City | EDISON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08820-1179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-546-7070
-----------------------------------------------------
Fax | 908-546-7069
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 PROGRESS ST SUITE AA5
-----------------------------------------------------
City | EDISON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08820-1179
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-546-7070
-----------------------------------------------------
Fax | 908-546-7069
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | DR. NANDINI K MORAY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 908-546-7070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273Y00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital Unit
-----------------------------------------------------
License Number | MA68737
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | MA68737
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------