Active NPIIndividual provider

Jeet Thaker, MD

Family Medicine in Egg Harbor Township, New Jersey

NPI Number1104358100
Practice location
2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587
Fax
—
Last updated
August 6, 2020

Jeet Thaker is a Family Medicine based in Egg Harbor Township, NJ. Jeet Thaker practices in Egg Harbor Township, NJ and has the professional credentials of MD. The NPI Number for Jeet Thaker is 1104358100 and holds a License No. 25MA10876800 (NJ). The current practice location address for Jeet Thaker is 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 and can be reached out via phone at 609-407-2380.

Provider Profile Details

NPI Number
1104358100
Provider Name
Jeet Thaker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587
Phone Number
609-407-2380
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2017
Last Update Date
August 6, 2020
Certification Date
August 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 English Creek Ave Ste 909
Egg Harbor Township, NJ 08234-5587
Zip
08234-5587
Phone Number
609-407-2380
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
2799 W Grand Blvd
Detroit, MI 48202-2608
City
Detroit
State
MI
Zip
48202-2608
Phone Number
313-916-1601

License Information

License Number
25MA10876800
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeet Thaker, MD?

The NPI number of Jeet Thaker, MD is 1104358100. It was assigned on March 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Jeet Thaker, MD?

Jeet Thaker, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10876800.

Where does Jeet Thaker, MD practice?

The practice location is 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587. The office can be reached at 609-407-2380 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104358100 directly on the NPPES registry website.

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