Dr Nishok Victory Srinivasan, MBBS is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Newark, New Jersey. His current practice location is
185 S Orange Ave # Msbg574, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 972-5682.
Dr Nishok Victory Srinivasan is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508543265.
Physician's Profile
| Full Name | Dr Nishok Victory Srinivasan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 185 S Orange Ave # Msbg574, Newark, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508543265
- Provider Enumeration Date: 07/03/2023
- Last Update Date: 06/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921455486
- Enrollment ID: I20231106002825
Medical Identifiers
Medical identifiers for Dr Nishok Victory Srinivasan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508543265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 57.255669 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nishok Victory Srinivasan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nishok Victory Srinivasan, MBBS
185 S Orange Ave # Msbg574,
Newark, NJ 07103-2757
Ph: (973) 972-5682 | Dr Nishok Victory Srinivasan, MBBS
185 S Orange Ave # Msbg574,
Newark, NJ 07103-2757
Ph: (973) 972-5682 |
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