Dr. Bharathi Nayak
Sports Medicine Doctor
85 S Harrison St Suite # 101
East Orange
, New Jersey 07018-1700
Dr. Bharathi Nayak
Sports Medicine Doctor
85 S Harrison St Suite # 101
East Orange
, New Jersey 07018-1700
(973) 672-2940
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Bharathi Nayak
- 22 Winding Way
- Woodland Park, NJ
- Zip : 07424-2665
- Fax : (973) 672-2940
- Phone : (973) 672-2005
Second Address
- Dr. Bharathi Nayak
- 85 S Harrison St Suite # 101
- East Orange, NJ
- Zip : 07018-1700
- Fax : (973) 672-2940
- Phone : (973) 672-2005
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MA30135 | NJ |
National Provider Identifier
| NPI | 1912098690 |
|---|---|
| Provider Name | Dr. Bharathi Nayak |
| First Address | Woodland Park, NJ 07424-2665 |
| Second Address | East Orange, NJ 07018-1700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 19/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 222499217 | TAX ID (01) | NJ |
| 3160203 | (05) | NJ |
| C56822 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.