Active NPIIndividual provider

Dr. Tej Phatak, MD

Radiology, Pediatric Radiology in Newark, New Jersey

NPI Number1841455789
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
October 7, 2015

Tej Phatak is a Radiology, Pediatric Radiology based in Newark, NJ. Tej Phatak practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Tej Phatak is 1841455789 and holds a License No. 25MA07894300 (NJ). The current practice location address for Tej Phatak is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-6668.

Provider Profile Details

NPI Number
1841455789
Provider Name
Tej Phatak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-6668
Primary Taxonomy
Radiology, Pediatric Radiology · 2085P0229X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2008
Last Update Date
October 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-6668
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027
Phone Number
973-926-6668

License Information

License Number (1)
25MA07894300
License State (1)
NJ
Taxonomy (1)
Radiology, Pediatric Radiology · 2085P0229X · Primary
License Number (2)
25MA07894300
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X

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 Dr. Tej Phatak, MD?

The NPI number of Dr. Tej Phatak, MD is 1841455789. It was assigned on July 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Tej Phatak, MD?

Dr. Tej Phatak, MD is registered under the primary taxonomy Radiology, Pediatric Radiology (code 2085P0229X), licensed in NJ under license number 25MA07894300.

Where does Dr. Tej Phatak, MD practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-6668 (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 1841455789 directly on the NPPES registry website.

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