| Nj Primary Care Pc | |
|
500 Summit Ave Union City NJ 07087-3421 | |
| (973) 239-1600 | |
| Not Available |
| Full Name | Nj Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Summit Ave, Union City, New Jersey |
| Authorized Official Name and Position | Deval Gadhvi (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2019020300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Primary Care Pc 200 Hudson St Ste 145 Jersey City NJ 07311-1220 Ph: (201) 360-0782 | Nj Primary Care Pc 500 Summit Ave Union City NJ 07087-3421 Ph: (973) 239-1600 |
| NPI Number | 1821482175 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 08/25/2020 |
| Medicare PECOS PAC ID | 0749585099 |
|---|---|
| Medicare Enrollment ID | O20160224000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821482175 | NPI | - | NPPES |
| 0180998 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08458400 (New Jersey) | Primary |
| Provider Name | Deval P Gadhvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518119700 PECOS PAC ID: 0345302576 Enrollment ID: I20081223000357 |
| Provider Name | Prahlad Gadhavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326201641 PECOS PAC ID: 2466597976 Enrollment ID: I20170518000270 |
| Provider Name | Harshadkumar Chaudhari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831551530 PECOS PAC ID: 9537452545 Enrollment ID: I20210730000722 |
| Provider Name | Madhu Suryadevara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578906772 PECOS PAC ID: 5395968440 Enrollment ID: I20230413001775 |
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