Physician Compare National (NPI:1386060507)

HEALTHCARE PROVIDER: PUNIT RAJNIKANT JARIWALA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386060507
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951520378
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140917002328
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JARIWALA
	Individual professional last name
Provider First Name	PUNIT
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3 EXETER WAY
	Group Practice or individual's line 1 address
City	HOLMDEL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077332294
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONMOUTH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310044
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310092
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CAPITAL HEALTH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310034
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RIVERVIEW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	310108
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	JFK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1386060507)

HEALTHCARE PROVIDER: PUNIT RAJNIKANT JARIWALA M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information