PREM NANDIWADA MD PC NPI 1013049600

NPI Information

  • NPI: 1013049600
  • Provider Name: PREM NANDIWADA MD PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 24 PLAZA 9
    MANALAPAN, NJ
    ZIP 07726
  • Phone: (732) 625-0210

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NPI Details

PREM NANDIWADA MD PC is a gastroenterology internal medicine in Manalapan, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREM NANDIWADA MD PC NPI is 1013049600. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24 PLAZA 9
MANALAPAN, NJ
ZIP 07726-010
Phone: (732) 625-0210
Fax: (732) 625-0214

The provider's authorized official is Prem Nandiwada .
The authorized official title is President and has the following contact phone number (732) 625-0210.

The enumeration date for this NPI number is 3/10/2007 and was last updated on 5/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMA57313NEW JERSEYNo
2207RG0100XInternal MedicineGastroenterologyNJ57313NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16417205MEDICAIDNEW JERSEY
2F06698MEDICARE UPINNEW JERSEY
3698350MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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