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JITENDRA J. LODHAVIA M.D. P.A. NPI 1184947343


NPI Information

NPI: 1184947343
Provider Name: JITENDRA J. LODHAVIA M.D. , P.A.
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
71 SUMMIT AVE
GROUND FLOOR, REAR ENTRANCE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 488-4420
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JITENDRA J. LODHAVIA M.D. , P.A. is an addiction medicine internal medicine in Hackensack, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. JITENDRA J. LODHAVIA M.D. , P.A. NPI is 1184947343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

71 SUMMIT AVE
GROUND FLOOR, REAR ENTRANCE
HACKENSACK, NJ
ZIP 07601-262
Phone: (201) 488-4420
Fax: (201) 488-7570

The provider's authorized official is Jitendra J Lodhavia .
The authorized official title is President and has the following contact phone number (201) 488-4420.

The enumeration date for this NPI number is 3/2/2010 and was last updated on 3/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction Medicine25MA02730900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1460897MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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