MIRA CHAKRAVARTY


Address: 3840 Park Avenue, Suite C, Edison, NJ 08820
Phone: 7324949061

MIRA CHAKRAVARTY (NPI# 1073719258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073719258
Entity Type Individual
Full Name MIRA CHAKRAVARTY
Credential M.D.
Practice Address 3840 Park Avenue
Suite C
Edison
NJ 08820
Mailing Address 3840 Park Ave
Suite C
Edison
NJ 08820-2563
Practice Telephone 7324949061
Practice Fax Number 7324945571
Mailing Telephone 7324949061
Mailing Fax Number 7324945571
Enumeration Date 2007-06-25
Last Update Date 2014-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 25MA03783000 NJ Other Service Providers

Office Location

Street Address 3840 PARK AVENUE
SUITE C
City EDISON
State NJ
Zip Code 08820

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1386136521 Chirag A Gandhi Physical Therapist 3830 Park Ave Ste 202, Edison, NJ 08820 2018-06-04
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457891475 Tova Horowitz Specialist 24 Eardley Rd, Edison, NJ 08817-3031 2017-02-24
1831632389 Garden State Infectious Diseases Consultants PC Specialist 36 Huntington Rd, Edison, NJ 08820-3108 2016-11-30
1881047405 Middlesex Infectious Diseases LLC Specialist 3 Melbloum Ln, Edison, NJ 08837-2780 2016-07-19
1477909281 Fairfield Neurology LLC Specialist 20 Ballo Pl, Edison, NJ 08820-3837 2016-05-11
1104250653 Antony Mathew Specialist 44 Lincoln Hwy, Suite 200 C, Edison, NJ 08820-3978 2013-09-01
1659628709 Eva Mohanty Specialist 608 Merrywood Dr, Edison, NJ 08817-2535 2012-08-08
1679845689 Raritan Bay Primary Care & Cardiology Associates, Pa Specialist 339 Plainfield Rd, Edison, NJ 08820-3049 2012-02-07
1861796021 Kristin N Cavuto Specialist 86 Jersey Ave, Edison, NJ 08820-3526 2011-01-03
1720393226 Center for Spine Intervention & Pain Management, LLC Specialist 2117 Oak Tree Rd, Suite 209, Edison, NJ 08820-1422 2010-08-10
1801019526 Gregory Chiang Specialist 216 Tingley Ln, Sports Performance Pt, Edison, NJ 08820-1479 2007-04-11
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Competitor

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City EDISON
Zip Code 08820

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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