Provider Demographics
NPI:1720071731
Name:AMIN, GIRISH S (MD)
Entity type:Individual
Prefix:
First Name:GIRISH
Middle Name:S
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1608 ROUTE 88 W
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3009
Mailing Address - Country:US
Mailing Address - Phone:732-840-8880
Mailing Address - Fax:732-840-3939
Practice Address - Street 1:1608 ROUTE 88 W
Practice Address - Street 2:SUIRE 250
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3009
Practice Address - Country:US
Practice Address - Phone:732-840-8880
Practice Address - Fax:732-840-3939
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06311400207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ809231OtherEMPIRE HEALTHCARE
NJ010063114NJ01OtherANTHEM
NJ3819175002OtherCIGNA
NJ830006947OtherMEDICARE RAILROAD
NJ6861504Medicaid
NJ19668OtherMASTCARE
NJ117039OtherCHN
NJ2505650OtherGHI
NJ2337188OtherAETNA
NJ59699OtherLOCAL 825
NJ59699OtherLOCAL 825
NJ2337188OtherAETNA