Provider Demographics
NPI:1194794099
Name:NANGIA, ARUN (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:NANGIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 CLIFTON AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1880
Mailing Address - Country:US
Mailing Address - Phone:973-471-3730
Mailing Address - Fax:973-471-9129
Practice Address - Street 1:721 CLIFTON AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1880
Practice Address - Country:US
Practice Address - Phone:973-471-3730
Practice Address - Fax:973-471-9129
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60727207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7004800Medicaid
NJ794674Medicare ID - Type Unspecified
NJF93068Medicare UPIN