1487686044 NPI number — DR. MITAL J. GOHEL DC

Table of content: DR. MITAL J. GOHEL DC (NPI 1487686044)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487686044 NPI number — DR. MITAL J. GOHEL DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOHEL
Provider First Name:
MITAL
Provider Middle Name:
J.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487686044
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 SUMMIT AVE
Provider Second Line Business Mailing Address:
SUITE B1 (BASEMENT)
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07306-2707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-255-0657
Provider Business Mailing Address Fax Number:
201-255-0668

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 SUMMIT AVE
Provider Second Line Business Practice Location Address:
SUITE B1 (BASEMENT)
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07306-2707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-255-0657
Provider Business Practice Location Address Fax Number:
201-255-0668
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00621300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 299857 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5719465 . This is a "FIRST HEALTH NETWORK" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "HORIZON BCBS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "MULTIPLAN, INC." identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5729640001 . This is a "DMEPOS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 11553798 . This is a "CAQH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "LANDMARK HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2744683000 . This is a "AMERIHEALTH HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 9408495 . This is a "PHCS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "TRIAD HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 60020337 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0084760 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1274880 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: X05S2 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1063440 . This is a "ASH NETWORKS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1063440 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 161734373 . This is a "INTEGRATED HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com