Individual provider Active NPI

Nikita Nalmada

  • Family Medicine Physician
  • Dayton, NJ
National Provider Identifier
1073106183
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0308592005912 Issued in NJ
Practice address
76 Liberty Dr
Dayton, NJ 08810-1614
Phone
(732) 421-9890
NPI assigned
Feb 19, 2021
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0308592005912 NJ Primary

Addresses

Primary practice location

76 Liberty Dr
Dayton, NJ 08810-1614

Mailing address

76 Liberty Dr
Dayton, NJ 08810-1614

Other identifiers 1

IdentifierTypeStateIssuer
N0308592005912MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Dayton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
N0308592005912NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Telehealth NJ CurrentSince Feb 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1073106183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LIBERTY DR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 LIBERTY DR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101614",
            "telephone_number": "732-421-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALMADA",
        "first_name": "NIKITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "N0308592005912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0308592005912",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dayton",
            "affiliation": "N",
            "address_1": "76 Liberty Dr",
            "city": "Dayton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088101614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.