Provider Demographics
NPI:1720034218
Name:BAJPAI, ENAKSHI (DO)
Entity type:Individual
Prefix:
First Name:ENAKSHI
Middle Name:
Last Name:BAJPAI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:848-288-6935
Mailing Address - Fax:732-790-0107
Practice Address - Street 1:698 MULLICA HILL RD STE 330
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-4453
Practice Address - Country:US
Practice Address - Phone:856-845-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06707000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2286064OtherUNITED HEALTHCARE
NJ2K4599OtherHEALTHNET
NJP00033914OtherRAILROAD MEDICARE
PA2114330000OtherPENNSYLVANIA BLUE SHIELD
NJ5929095OtherCIGNA
NJ60000752OtherHORIZON MERCY
NJ2114330000OtherAMERIHEALTH
PA3093236OtherAETNA HMO
NJ7359410OtherAETNA
NJP2878207OtherOXFORD
NJ004154Medicaid
NJ1429314OtherAMERIHEALTH ADMINISTRATOR
NJ222173875OtherBLUE SHIELD
NJ30020831OtherKEYSTONE MERCY
NJ2K4599OtherHEALTHNET
NJ2286064OtherUNITED HEALTHCARE
PA077499POCMedicare ID - Type UnspecifiedPENNSYLVANIA MEDICARE