Provider Demographics
NPI:1285897157
Name:NIJHAWAN, RISHI I (DMD)
Entity type:Individual
Prefix:DR
First Name:RISHI
Middle Name:I
Last Name:NIJHAWAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DARCY DR
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3543
Mailing Address - Country:US
Mailing Address - Phone:908-432-5571
Mailing Address - Fax:
Practice Address - Street 1:135 WEST END AVE.
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3543
Practice Address - Country:US
Practice Address - Phone:908-722-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023517001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice