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NPI Code Detail

MEDICARE: DR. NIKTHA KASINATHAN M.D.

MEDICARE: DR. NIKTHA KASINATHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA10159000NJ
2207RP1001XPulmonary Disease Physician25MA1015900NJ
3207RC0200XCritical Care Medicine (Internal Medicine) Physician25MA10159000NJ

General Provider Information

NPI Number : 1700221223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIKTHA KASINATHAN M.D.
Provider Business Mailing Address
First Line : 23 YELLOW BROOK RD
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1967
Country : US
Telephone Number : 732-759-5632
Fax Number :
Provider Business Practice Location Address
First Line : 1 BAY AVE
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-4837
Country : US
Telephone Number : 197-342-9616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2013
Last Update Date : 04/08/2026

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