Provider Demographics
NPI:1306579354
Name:JANI, HIRAL (PA-C)
Entity type:Individual
Prefix:
First Name:HIRAL
Middle Name:
Last Name:JANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2151
Mailing Address - Country:US
Mailing Address - Phone:973-932-6403
Mailing Address - Fax:
Practice Address - Street 1:561 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1829
Practice Address - Country:US
Practice Address - Phone:732-549-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty